Inspection on 30/01/06 for Linelands

This inspection was carried out on 30th January 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.

Other inspections for this house

Linelands 27/06/07

Linelands 16/05/05

Linelands 20/12/04

Linelands 18/10/04

Linelands 12/02/04

Linelands 09/12/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Linelands All Saints Lane Nettleham Lincoln Lincs. LN2 2NT Lead Inspector Mr Ken Hague Unannounced Inspection 30th January 2006 13:00 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 Linelands DS0000041866.V276296.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. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Linelands Address All Saints Lane Nettleham Lincoln Lincs. LN2 2NT 01522 750889 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) sheila.sibbons@lincolnshire.gov.uk Lincolnshire County Council Mrs Sheila Joan Sibbons Care Home 27 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (24), Physical disability over 65 of places years of age (2) Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Linelands is a care home owned by Lincolnshire County Council. It is situated on the outskirts of the City of Lincoln in the village of Nettleham. The home is a two-storey property which is a purposely built unit and is surrounded by gardens with ample parking to the front and the side of the home. There are local shops, churches,cafe and public houses within walking distance of the home.The home is split into six wings, five of which are used to provide care and accommodation for older people. Each wing has its own lounge, quiet room, bathroom and two toilets. The first floor has three kitchen areas where drinks can be made. There are three dining areas in the home. Accommodation is provided in single rooms on the ground and first floors. There is a passenger lift which enable service users to access the second floor. The home provides intermediate/rehabilitation care and short-term care. There are some long-term service users staying the care home who were admitted to this home prior to the policy of the home being identified as to provide service users with short-term care with a view to them returning to their home within agreed target dates. A separate day centre which is situated in the care home did not form part of this inspection. The home is registered to provide care for 27 service users. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 4 hours. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted, and care records were inspected. Three residents, three relatives, two members of staff and the Registered Manager were interviewed. What the service does well: What has improved since the last inspection? What they could do better: The Inspector commented at the last inspection that the maintenance budget allocated to the home placed restrictions on the registered managers ability to quickly purchase essential equipment. This issue has still not been fully addressed by the Social Services Department. The home provides intermediate care, which results in a frequent changeover of residents. Residents needs are different and therefore staffing hours needs to be adjusted frequently. At the present time staffing levels do not take into account that the building is on two levels and in addition that peoples needs will vary frequently due to the changes of the residents living at home. The home ensures essential hours are provided for residents by reducing the number of beds occupied rather than increasing staff hours provided. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 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. Linelands DS0000041866.V276296.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 Linelands DS0000041866.V276296.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): 3,6 All new residents are given an assessment before being admitted to the home. However, staff are not ensuring that the initial assessment are fully completed. This could result in a resident’s needs not being met at the time of their admission. The home works very effectively to ensure that residents taking immediate care are helped to maximise their independence and return home. EVIDENCE: The individual files of the three residents being case tracked all contained initial assessments which should have identified all of their needs. Two of the care files inspected contained all the resident’s social and care needs. The third file failed to identify that the resident needed help in two specific areas. This resident needed help with taking medication and special help when eating. The resident has severe arthritis in the right-hand and restricting movement in the left. The Inspector observed that she was unable to take medication without assistance and was having difficulties drinking out of a standard cup due to the restriction in the movement of her hands. This should have been picked up and recorded at the initial assessment. Her care records made no reference to this problem. Her difficulties should have been observed by staff, and care records amended. Linelands DS0000041866.V276296.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): 7,8 Care plans identify areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. One care plan did not contain all the needs of the resident. EVIDENCE: Each resident has a care plan which is regularly reviewed. Care plans were found to be generally accurate and included the health, social and personal preferences of individuals. One of the care plans seen at this inspection did not identify all the needs of one resident, (see comment for standard 3). The standard of recording in care records after the initial assessment was very good. There was evidence of frequent reviews and discussions being held with residents to ensure their choices and wishes were reflected into their care plan. The care plans include individual resident’s choice of food , the details of activities which they choose to participate in and the way they prefer their personal care to be provided by staff. There were details of visits by GPs, district nurses and the chiropodist. Files included details of hospital appointments and included evidence that the home enables residents to attend all appointments with their GP and hospital consultants. A resident stated “the home helps me to keep my hospital appointments and arranges transport” The files of the three residents being case tracked contained details of their chiropody appointments and dental requirements. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 10 A resident stated “ the home arranges for the chiropodist to look at my feet and staff help me look after my dentures”. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 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 &15 The home provides a regular activities programme, but records could be improved to show individual involvement in more detail. Residents and relatives felt that staff make relatives’ very welcome at the home. The home provides a varied menu which meets the dietary needs of all residents. EVIDENCE: The home’s pre-inspection report states that the home offers the following facilities. A library for residents to obtain books, television, video and radio are provided in all lounges. Activities are provided using games and puzzles. There are concerts and church services organised at the care home. A mobile retailer visits the home to allow residents to make some small purchases. Staff organise local shopping trips and some residents can go out for pub meals and take part in outings into the local community. Staff stated regular activities are organised and take place. The record book in which activities are recorded had not been completed daily and therefore did not fully support this statement. Residents spoken to confirmed that some activities do take place. Staff and residents confirmed some activities are directly linked into increasing their personal skills and ability to prepare for a return to their home in the community. The visiting policy of the care home is displayed in a public area of the home. Residents said friends and family are made very welcome and encouraged to visit. Two relatives visiting on the day of this inspection confirmed that they felt very welcome, staff had made them a drink and they had only positive comments to make about the care home. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 12 The Inspector shared a meal with the residents who stated “we are offered a choice of meal, a member of staff talks to us daily to ask what we want at each individual meal.” “There is always plenty of food usually some food is left, its nice quality and always hot.” A second resident said “the food here is excellent you couldnt wish for any better.” Residents use more than one dining room. There were 10 residents eating in the dining room used by the Inspector. A member of staff served the food and the atmosphere was very relaxed and all residents stated their satisfaction with the menu and facilities provided. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 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): 16,17 &18 Complaints are recorded and responded to appropriately and residents are cared for by staff who are able to respond if they believed that residents may be put at risk of abuse or harm. EVIDENCE: Residents spoken to said that they would tell members of staff if they were unhappy. Members of staff interviewed were clear about their responsibilities regarding bringing concerns to the manager’s attention. The home has a comprehensive complaints policy and procedure which were available for examination. The Commission has received no complaints about the home since the last inspection. The home has an adult protection policy and procedures in place. Members of staff confirmed that they had received specific training and would have no hesitation in reporting any incident. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 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 & 26 The home is well maintained and decorated and is homely and comfortable, odour free and was found to be cleaned to a high standard throughout. There are appropriate aids and adaptations provided in the home to maintain residents’ independence. EVIDENCE: A tour of the home included two residents’ bedrooms. The residents concerned said that they were very happy with their rooms and had been encouraged to personalise them. The communal lounges were clean and the furnishings provided a homely atmosphere. The external garden area of the property is well maintained. A garden feature has been improved at the entrance to the care home. Staff stated they found the home a safe environment in which to work. All areas of the home smelt fresh and the infection control policy of the home was being followed. No health and safety issues were identified. Linelands DS0000041866.V276296.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): 27,28,29 & 30 The home has a stable workforce who provides consistency of care for residents living in the home. The registered manager takes into account the skill mix of her staff and the dependency levels of residents when planning rotas. The registered manager promotes a safe recruitment procedure, followed by staff induction and training. EVIDENCE: Staffing rotas and the information provided in the pre-inspection material demonstrated that the home was meeting the minimum staffing levels with an adequate number of care staff on duty 24 hours a day. Residents confirmed that they felt there was always sufficient staff on duty to meet their personal care needs. They stated call bells are answered promptly but delays are sometimes caused by the physical distance staff have to walk if they are on a different floor level when the buzzer is pressed. A resident stated “I believe this to be a very safe home to live in I feel very confident and safe living here.” The inspection of the personal files for three new staff confirmed that the recruitment policy of the home is being followed. The registered manager confirmed and provided evidence that inductions are being provided for new staff. The training records demonstrate that 67 of staff hold an NVQ two in care or an equivalent qualification. Linelands DS0000041866.V276296.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): 31,33 & 38 The home is well run, with good leadership and guidance from the registered manager who has worked for many years in the provision of community care. The health and safety and welfare of residents is promoted. EVIDENCE: The registered manager in her formal interview demonstrated a sound knowledge of the Care Home Regulations and National Minimum Standards. Her response to questions and discussions demonstrated a commitment to ensure that the home is run in the best interest of residents. Staff demonstrated in their responses to questions that they too are committed to ensuring residents needs are met and that their dignity and privacy are respected. A resident stated “you cannot find better staff anywhere they are kind and helpful, they are lovely people.” No health and safety issues were identified at this inspection. Linelands DS0000041866.V276296.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 2 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x 3 Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 18 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 OP3 Regulation 14-1 Requirement they registered person must ensure that new residents are given a full assessment which identifies their needs before being admitted to the care home. Timescale for action 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP29 Good Practice Recommendations The maintenance budget for the care home should be reviewed to ensure that it is sufficient to allow ongoing maintenance to be carried out an essential equipment to be replaced without delay. Linelands DS0000041866.V276296.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Linelands DS0000041866.V276296.R01.S.doc Version 5.1 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. 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