CARE HOMES FOR OLDER PEOPLE
Linear Park Bradlegh Road Newton-le-willows Merseyside WA12 8RA Lead Inspector
Mrs Lynn Paterson Unannounced Inspection 2:00 10 February 2006
th 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 Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Linear Park Address Bradlegh Road Newton-le-willows Merseyside WA12 8RA 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) 01925 221635 01925 221635 woodscdwood\|@aol.com Housing With Care Limited Mrs Christine Diane Woods Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Service Users to Include up to 25 (OP) Variation to accommodate up to 5 service users of the age group 6065 (males), 55-60 (females) The service should at all times employ a suitably qualified and experienced manager who is registered with the CSCI Date of last inspection Brief Description of the Service: Linear Park is a purpose built residential care home that provides ground floor accommodation for 25 older people who are in need of assistance and support with their personal and social care. Accommodation comprises 25 single bedrooms 10 of which have ensuite facility, 2 lounge areas, a dinning room, library conservatory and hairdressing room. The property has aids and adaptations in place to enable residents to remain independent for all long as possible. The home has full ramped access to all entry and exit areas and is surrounded by large pleasant well -maintained gardens. The premise’s has CCTV security to the front and side entrance and has ample parking facility to the front of the building. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection of Linear Park was carried out during the afternoon of 10th February 2006 and was undertaken on an unannounced basis. The inspector spoke with the home manager, 3 care staff and 16 residents looked at documentation to include home records, care plans and quality assurance questionnaires and toured the premises to gain information for this report. What the service does well: What has improved since the last inspection?
The home has improved upon the quality assurance systems and has new documentation in place to gain the views of the residents and their representatives as to the services provided in the home. This documentation appeared well thought out and residents said they enjoyed being asked to give their views about current service provision and share ideas for the future. The manager advised that the home had devised an audit trail to check on food suppliers. She revealed that this system identifies food sources to enable the home to have full knowledge of the product. Records show that residents nutritional screening has been updated and questionnaires have been provided to residents to enable them to advise of any allergies or choice in respect of eating /digesting eggs, beef and soft cheese. Documentation looked at revealed that the care planning systems in the home have been updated and now work on a care pathway system. The
Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 6 documentation holds full information about all aspects of individual health and social care needs to include detailed information about care planning and the manner in which the care should be provided. Two Integrated Care Pathway files were examined in detail and were seen to be of a very high quality and gave full information to enable care to be provided to afford choice, safety and needs led care. Residents spoken with said they were consulted at all times about their individual care needs and felt that staff carried out their caring role showing respect, kindness and professionalism. Staff said that the home had changed the way the meals were served with the main meal now being served from a central bay- marie and the vegetables and potatoes being provided in dishes on the tables to enable residents to help themselves to as little or as much as they wished. Residents said they felt this system was great as sometimes when meals were served plated they were given too much and it put them off. They advised that they could now have what they wanted and get more if they choose. Staff said the new system was seen to be effective and residents appeared to be eating more. It was noted that the home has a new procedure in place to enable them to reflect on current practices to see if things could be done better and this was seen to be commendable as an effective quality tool for the continuous improvement of the service. The home has planned continuous refurbishment of the home and it was noted that new carpets had been laid in the lounge and library areas of the home. 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. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 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 Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 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): Standard 3 assessed at the previous inspection and achieved full compliance. EVIDENCE: Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 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): 10 Residents feel that they are treated with respect and their privacy and dignity is upheld at all times. EVIDENCE: Residents spoken with and information gained from completed questionnaires revealed that residents feel that staff, treat them very well. Comments included “staff are absolutely lovely, very pleasant, caring and respectful to us all”, “staff help us discretely so as not to make us feel or look helpless”, ”we can speak to staff in private, we can see our family in private, our bedroom doors have locks, what more can we ask”. Observations of staff and residents interactions showed an atmosphere in which staff and residents shared mutual respect and were most comfortable in each other’s company. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 10 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): 14 Residents are assisted to exercise choice and control over their lives by staff who carry out procedures to make sure that individuals can advise how they wish to carry out their daily living. EVIDENCE: The home manager provided documentation to include policies and procedures which identified new systems that have been introduced to make sure that all residents have a clear guide as to what services are available in the home. These systems include the provision of quality assurance forms to all people living in the home to identify what they want from the service. The questionnaires also ask about food provision and if residents wish to eat certain foods, for example British beef, eggs or soft cheese. Residents spoken with said that they felt very much empowered by the staff and systems in the home. Comments included “ I have a care plan that I helped to draw up and it details how I want to live and how I want to be cared for”, ”We are asked about everything here, we are given choices in all we do”.” “Do you know that we have choices in all things and we have meetings to say how things are going and if we want to make any changes in the home”. “We` are consulted with and listened to by the staff, we have a great time here, its lovely”.
Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 11 Records show that the home is constantly updating systems to ensure that residents have full choice and control over their lives and this was seen to be commendable. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 12 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): Standards 16-18 were assessed at the previous inspection and achieved full compliance. EVIDENCE: Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 13 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): 22.24.25.26 The home ensures that residents live in a clean safe comfortable environment in which specialist equipment is provided to enable the residents to maximise tier independence. EVIDENCE: The manager provided documentation to show that the home has an occupation therapy review of all specialist equipment provided in the home to ensure it is safe and secure for the use of residents. Care plans and daily records identified that residents are assessed as an ongoing process and specialist equipment is provided as required. A tour of the premises revealed that the home has hand -rails and ramped access in the home and all bathroom and toilets are equipped with aids appropriate to need. The home has 2 hoists and a turntable and moving and handling belts and records show that staff, are trained as to their use. Residents spoken with said they were very happy and comfortable in their rooms and felt that the home “was better than a five star hotel”. Comments included “my room is so very nice, it is well furnished and most comfortable”,
Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 14 “I just love my room, it is so cosy”, ”this place is great its so clean and tidy and well furnished and my room is just lovely”, ”this is the best home anyone could live in and I should know because I have been here for a long time”. Observational practices and discussions held with residents and staff revealed that the home ensures the safety and comfort of residents and this was seen to be commendable, Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 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): 29. The home has clear recruitment policies to ensure that staff who are appointed are carefully vetted prior to commencement. EVIDENCE: Two recently appointed staff were spoken with and both confirmed that they had undertaken a formal structured interview followed up by having to provide two references and a Criminal Records Bureaux (CRB) check prior to commencement of their role. The manager said the interview format was standardised to ensure equality. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 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): 33.35. Residents are consulted with and their interests are seen to be important to the running of the home. EVIDENCE: Linear Park is a residential home that caters for the needs of older people who are in need of supervision or support with their health, personal and social care. Staff focus - well on the residents needs and arrange daily life accordingly. All residents spoken with said they enjoyed living in the home and they were consulted with as an ongoing process to ensure that the home was running in a way that suited them. Residents said that they had regular residents meetings and the home supplied a newsletter to keep them up to date with what was going on. Documentation seen and comments made by residents revealed that the home has excellent communication systems in place to ensure that the home is run in the best interests of residents and this was seen to be commendable. Records show that the home does not currently deal with any residents finances as all current residents are either self managing their finances or have appointed a representative to assist.
Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X 4 X 4 4 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X 3 X X X Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 18 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 OP26 Good Practice Recommendations It is recommended that the registered person continue her pursuits to recruit a person to be designated to the role of domiciliary worker in the home. Linear Park DS0000022405.V278411.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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