CARE HOMES FOR OLDER PEOPLE
Linear Park Bradlegh Road Newton-Le-Willows St Helens WA12 8RA Lead Inspector
Lynn Paterson Unannounced 16 August 2005
th 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. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Linear Park Care Home Address Bradlegh Road Newton-Le-Willows St Helens WA12 8RA 01925 221 635 01925 221 635 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) Housing with Care Limited Mrs Christine Diane Woods Care Home 25 Category(ies) of OP Old Age (25) registration, with number of places Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Service users to include up to 25 OP. Variation to accommdate up to 5 service users of the age group 60 - 65 (males), 55 - 60 (females). The service should at all times employ a suitably qualified and experienced manager who is registered CSCI. Date of last inspection 06/09/04 Brief Description of the Service: Linear Park is a purpose built residential care home that provides ground floor accomodation for 25 older people who are in need of assistance and support with their personal and social care. Accomodation 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 pleasnat well mainained gardens.The premises has CCTV security to the front and side entrance and has ample parking faciltiy to the front of the buidling. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 morning of 16th August 2005 and the visit was undertaken on an unannounced basis. For the purpose of this report the manager, 5 staff and 20 residents were spoken with and a full tour of the premises was undertaken. Care plans, staff rotas, policies, procedures, medication sheets and storage and daily records were examined. Staff, were also observed carrying out their care practices in the home. The manager, Chris Woods, represented the home and facilitated throughout the inspection. What the service does well:
The home has a quality assurance system in place to make sure that the premises are well maintained, clean and hygienic at all times. Residents advised that they were very well looked after in the home and that staff were kind, caring and attentive to their needs. Pre admission assessment’s and care planning documentation identified that a comprehensive assessment of need was carried out prior to the placement being offered and as an ongoing process once the placement had commenced to make sure that appropriate care was provided to meet individual need. Residents spoken with said that the food was excellent, choices were available at all times and menus were devised via discussion and by suggestions being provided at residents meetings. Staff advised that the manager was good at her job and was respected for her knowledge and understanding of good practice issues in relation to care provision. Comments included “Chris is very helpful and approachable”, ”She is a very good manager, very approachable and willing to listen” ,”Chris is open and honest and is an excellent manager”.” The manager and the owner make sure that we receive good training and support to enable us to do a good job looking after the residents”. Observations of staff carrying out their care practices and discussion with residents revealed that staff assisted and supported residents ensuring that their dignity, privacy and respect was intact at all times. Records showed that staff retention was high and that over 75 of staff had attained NVQ level 2/3 qualification. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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 F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 Pre -admission assessments are carried out by suitably qualified people, to ensure that if a placement if offered all assessed needs can be met within the home EVIDENCE: Assessment documentation was available on all 6 case files viewed. The files showed that a comprehensive assessment of physical, social and health care needs had been carried out on each individual prior to a placement being offered. Residents spoken with advised that they had received a home assessment which had been followed up by the resident being invited to spend some time in the home to enable staff to continue with the assessment and enable the resident to complete their own assessment of the staff, the home and the residents therein. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 standard(s) 7.8.9. Residents health, personal and social care needs are assessed, detailed and recorded in an individual plan of care by staff who are qualified in holistic care practices. EVIDENCE: Care plans viewed contained full details of the individual’s pre admission assessment, followed by a detailed plan of the care to be delivered upon admission. The care plans held signatures to show they had been completed by staff, residents, their representative’s, and other professionals where appropriate. Care plans held information about health promotional material and community nursing, chiropody, dentistry and other health related services and of the nursing interventions from the local Primary Care Trust. Residents spoken with were most positive about the care planning and care delivery in the home and comments included “ we are always asked to contribute to our care plans and asked what we want”. ”staff include us when they need to review our care, sit with us and we tell them what we think has changed”.” Staff are kind, good, caring and involve us in everything”, ”the care we get here is wonderful”. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 10 Records and observations revealed that the medication records, storage and administration was well managed at the time of the inspection and staff spoken with exhibited full knowledge and understanding of all aspects of medication. Training records viewed further evidenced that staff received on going training in respect of health and social care practices and medication management. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 standard(s) 12.15. Residents find the lifestyle of the home matches their expectations and satisfies their social, cultural, religious and recreational needs. Menus are developed in consultation with residents and meals appear to be wholesome, pleasing and well presented. EVIDENCE: Residents spoken with said that they were generally very happy in the home. Comments included,” we have daily activities which are fun”,” we know what is going on every day and it is our choice if we want to join in, watch or go into another area of the home”. ”the activities are arranged in consultation with us all , through residents meetings or suggestions, the same goes for the food menus, we make suggestions as to what we would like to see on the menu” All residents spoken with said the food was good. Comments included the menus give good choice”, “the food is always very tasty and well presented”, ”my meals are great”, ”the food is well cooked and to our taste”. Food sampled during the inspection was well cooked, well presented and most appertising. Menus viewed showed that the food provision is varied, wholesome with choices being available at all times. Staff spoken with said that menus were developed in consultation with the residents and that choices were offered at breakfast, lunch and evening meals with meals being supplemented by tea, coffee, juices and biscuits throughout the day.
Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 12 During the visit residents were observed enjoying activities, meeting with friends, sitting in the gardens or chatting in the small lounge area of the home. The atmosphere within Linear Park was most homely and the interactions between staff, residents and their representatives was one of mutual respect and rapport. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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) 16.18 The home has a complaints policy in place that is clear and known to staff, residents and their representatives. Staff, are trained and knowledgeable in respect of adult protection. EVIDENCE: Staff spoken with demonstrated that they had full knowledge and understanding of the complaints process and of adult protection. Staff advised that they received ongoing training in respect of the protection of vulnerable adults and each staff member spoken with was able to describe the steps they would follow if they needed to carry out the adult protection policy. The home manager and staff exhibited other knowledge in respect of risk assessment, safe handling, safe wheelchair usage which indicated that the home utilised ongoing training to enable staff to make sure that residents were safe and protected wherever possible. Staff knowledge and understanding of all aspects of adult protection was comendbale. The homes complaints book was viewed and it was noted that one complaint had been received since the last inspection. Records indicated that the policies and procedures in the home had been followed. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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) 19.20.23.26. The home is safe and well maintained and meets the needs of the residents. EVIDENCE: A tour of the premises revealed that the home was clean, tidy and well maintained. Residents spoken with said that they were totally happy with the home to include communal and private areas. Comments included “we can bring our personal things in to make our rooms more homely” ”look at my room isn’t it great”, “ my room is warm comfy and safe” ”I love my room it so cosy”.” It’s not as good as my own home but it’s the next best thing”. Discussion with the home manager revealed that risk assessments are carried out as a regular process to ensure that identified risks could be assessed. It was noted that during the inspection no fire doors were wedged and no risks were apparent. The home has a maintenance and decorating plan and refurbishment work was being carried out during the time of the visit. Bedrooms and communal rooms viewed during the inspection presented as warm, pleasant, personalised, homely and well maintained.
Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 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) 27.30 Staff are supplied in sufficient numbers and skill mix to meet the assessed needs of the residents. EVIDENCE: Staff rotas showed that the staffing levels in the home were sufficient to meet the assessed need of the current residents of the home. Staff spoken with advised that they worked as a team were well supported and were able to fulfil their caring role for each resident without rush. Staff records showed that staff retention was high and staff training was an ongoing process in the home. Records revealed that all mandatory training had taken place for all the staff of the home and over 75 of staff had achieved NVQ level 2 /3. Staff interviewed appeared enthusiastic and motivated to do a good job and were keen to carry on with training and development. Residents spoken with said that staff, were kind, good at their jobs and comments included “staff are always helpful”, ”they seem to know when I need help and appear at the right moment” “ they are really good kind people who look after us well”. Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 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) 31.38 The home is managed by a qualified, knowledgeable person of good character, who ensures that the health safety and welfare of staff and residents is promoted and protected. EVIDENCE: Discussion with staff and residents revealed that the home manager is respected for her leadership skills, professional approach and honesty. Staff said that the manager leads by example and has an effective communication system to inform about any changes to policies, procedures or running of the home. Records show that the home manager and registered provider have formal qualifications in care management and discussions indicated that they work in partnership to provide positive outcomes for staff and residents. Staff records showed that all staff have received health and safety training and documentation viewed held details of risk assessment, hazard prevention and hazard analysis.
Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3
COMPLAINTS AND PROTECTION 3 3 x x 3 x x 4 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 4 x x x x x x 3 Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 18 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 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 Good Practice Recommendations Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo L22 0LG 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 Linear Park F53 F03 S22405 Linear Park V245969 160805 Stage 4.doc Version 1.40 Page 20 - 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!
