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Please note that the information on this website is now out of date.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 25/01/06 for Linford Park Nursing Home

Also see our care home review for Linford Park Nursing Home for more information

This inspection was carried out on 25th 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.

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 residents in the home appear happy and well cared for. Interaction between the residents and staff was good humoured and friendly. The manager is supporting the staff to provide and maintain a good standard of care in the home. The general environment of the home is well maintained and all the staff, both nursing and ancillary are taking pride in their work within the home.

What has improved since the last inspection?

Progress has been made in the reviewing and reformatting of the residents care plans. Many of the care plans have now been personalised and are addressing the individual care needs of the residents. The introduction of a social and recreational programme is providing an improved area of stimulation for the residents. The staff responsible for this programme are clearly enthusiastic and are appreciating the training and guidance they are receiving. Staff training has improved and the manager is ensuring that the staff are provided with regular and varied programme that is relevant to the care they provide in the home. The staff appear to be more outgoing and were prepared to talk to the inspectors during this visit. They seemed to be enthusiastic about their work and were proud to talk about their achievements and the training they had undertaken.

What the care home could do better:

The manager is working to ensure that the improvements already achieved are maintained and he acknowledges that there is still much work to be done in many areas of the home. Residents` records are under still under review and are being updated. Some hand written records are unclear, and staff need to be reminded that their entries in nursing records must be clear and accurate.

CARE HOMES FOR OLDER PEOPLE Linford Nursing Home Linford Road Linford Ringwood Hampshire BH24 3HX Lead Inspector Sue Maynard and Pat Griffiths Unannounced Inspection 25th January 2006 09:45 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 Linford Nursing Home DS0000011430.V278815.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. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Linford Nursing Home Address Linford Road Linford Ringwood Hampshire BH24 3HX 01425 471305 01425 471306 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) Northdown Estates Limited Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (10), Physical disability of places over 65 years of age (50) Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 10 beds may be used at anyone time for service users in the PD category, who are between 60 and 64 years of age 22nd September 2005 Date of last inspection Brief Description of the Service: Linford is part of a larger building complex, originally a small hospital. The home is situated in a rural area of the New Forest, around three miles from the market town of Ringwood. The home is registered to accept up to 50 service users with a physical disability or care needs relating to old age. Accommodation is offered over two floors, a passenger lift is provided. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory unannounced inspection for the year 2005/2006. The inspection took place over one day and was conducted by two inspectors and lasted 5.75 hours. Repeat requirements that had been made at previous inspections had not been met. On November 10th 2005 a statutory requirement notice was issued to the home to address the requirements previously made. An additional visit to the home was made on December 22nd 2005 to ascertain what progress had been made in addressing the requirements stated in the statutory notice. Evidence showed that progress had been made and the manager and senior staff were working towards full compliance of the standards identified. This work is ongoing and further progress was seen during this inspection. During the inspection the inspectors examined residents records. The inspectors spoke to residents and members of the care staff, domestic and catering staff and the staff responsible for the social and recreational programme. What the service does well: What has improved since the last inspection? Progress has been made in the reviewing and reformatting of the residents care plans. Many of the care plans have now been personalised and are addressing the individual care needs of the residents. The introduction of a social and recreational programme is providing an improved area of stimulation for the residents. The staff responsible for this programme are clearly enthusiastic and are appreciating the training and guidance they are receiving. Staff training has improved and the manager is ensuring that the staff are provided with regular and varied programme that is relevant to the care they provide in the home. The staff appear to be more outgoing and were prepared Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 6 to talk to the inspectors during this visit. They seemed to be enthusiastic about their work and were proud to talk about their achievements and the training they had undertaken. 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. Linford Nursing Home DS0000011430.V278815.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 Linford Nursing Home DS0000011430.V278815.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 Arrangements for assessments are in place, prior to admission, which ensure that the needs of the resident can be met. Standard 6 does not apply to this service. EVIDENCE: The manager undertakes a full needs assessment for all service users who are to be admitted to the home to ensure that all their care needs will be met. The assessment includes all aspects of personal care and well-being, their physical and psychological needs and personal safety. The information for this assessment is obtained from the resident, their families and other health care professionals who may be currently caring for the prospective resident. This assessment identifies the health care needs of the resident and forms the basis for care plans that will be written to address the care needs of the resident. Linford Nursing Home DS0000011430.V278815.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): Standards 8 and 10 were assessed at the inspection in September 2005 EVIDENCE: Standard 7 was assessed during a visit to the home on 22nd December 2005 following the issue of a statutory requirement notice in November 2005. Evidence seen during the visit in December demonstrated that the home had complied with requirement notice and the format and content of the care plans had improved. The manager and senior staff in the home are still reassessing and updating the care plans and risk assessment for all the residents in the home. Samples of care plans examined provided evidence that this work is continuing and the care plans are being personalised and addressing the individual needs of the residents. There was evidence that the residents or their families have been included in the re-assessment of the care plans. Linford Nursing Home DS0000011430.V278815.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): 12,13,14 and 15 The management of the social and recreational programme is creating a positive, varied and interesting life for the residents, which meets their expectations for living in the home. The residents are supported and encouraged to make choices about how they live their lives including choosing from a daily menu that provides them with a well balanced and varied diet. EVIDENCE: The manager for the home is introducing a new and comprehensive Social and Recreational programme. The new programme is being piloted with a group of residents for a short period and will then be audited before being implemented throughout the home. An external company who specialise in activities for the elderly has been consulted and is working and advising the home and visits twice weekly. An additional member of staff has been employed to assist with the new programme. Both the members of staff who are now responsible for the social programme are undertaking training. A room has been set-aside in the home and is being used as part of the programme where residents can undertake activities individually or in small groups. Sensory and lighting equipment will be put in the room to help to create an area of calm and restfulness. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 11 The manager has recently met with residents and families to discuss the plans for the social programme and to inform them of the plans to introduce other services such as aromatherapy and beauty therapy for the female residents. Since coming into post, the manager has established links with a local church. Supporters from the church are now visiting the home weekly. The visit is made into a social occasion for both staff and residents and the manager reported that it has been very successful. Residents spoken to confirmed that they are able to choose when they go to bed and when they get up in the morning. There is evidence in the residents’ bedrooms that they are able to bring small items of furniture into the home with them. The home provides a planned menu for the residents. The menu is changed weekly over a four-week period. The residents are offered a choice to the main meal and a vegetarian option is available. Residents spoken told the inspectors that they enjoyed their meals. The meal served during the inspection was well presented and included a selection of vegetables. Members of staff were supporting some individual residents who needed assistance with their meal in an appropriate and leisurely manner. The mealtime for all the residents appeared to be unrushed and treated as a social occasion. Linford Nursing Home DS0000011430.V278815.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): 16 Procedures are now in place that will ensure all complaints are acknowledged and handled objectively. Standard 18 was assessed during the inspection undertaken in September 2005. EVIDENCE: Standard 16 was assessed during a visit to the home on 22nd December 2005 following the issue of a statutory requirement notice in November 2005. Evidence provided by the manager during the visit in December 2005 demonstrated that records of complaints were being kept and an audit tool is in place to monitor any complaints received by the home. The home has received no complaints since the visit to the home in December. Linford Nursing Home DS0000011430.V278815.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): Standards 19 and 26 were assessed during the inspection undertaken in September 2005. EVIDENCE: Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 14 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 and 30 The numbers of staff on duty at any one time appear to be sufficient to meet the needs of the residents. The training needs of the staff are recognised and appropriate training is provided to ensure that staff are competent to do their job EVIDENCE: Examination of a random selection of staff recruitment records during this visit demonstrated that the home is now following the recruitment procedure. These records provided evidence that appropriate police checks (CRB) and checks with the Protection of Vulnerable Adults register (POVA) had been undertaken. Written references had been provided. A copy of the staff rota for January 2006 was provided for the inspectors. The rota demonstrated that currently the staffing levels for Linford 1 and 2 are appropriate to meet the assessed needs of the residents in this area of the home. The home employs domestic, catering and laundry staff. The domestic staff maintains a high level of cleanliness within the home. All laundry for the home is undertaken on the premises and staff are employed to work in this area seven days a week to ensure that the residents clothes are washed and maintained and there is a constant supply of clean bed linen. The catering staff provide all meals for the residents in both Linford and Woodlands. The manager reported that agency care staff are only used in an emergency when the home’s own staff are unable to cover in the event of sickness or annual leave. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 15 Evidence was seen by the inspectors to show that some staff in the home have achieved or are working towards NVQ level 2 and above. From the evidence produced this number is below the 50 of the total staffing numbers. Some staff that are working in the home as health care assistants have some nursing qualifications from their home country. These qualifications have not been validated to ascertain if they equate with NVQ level 2 or 3. There is a formal training programme for all the staff working in the home. Some of the training is provided by an external training company and some by the manager for the home. Staff spoken to confirmed that they have undertaken training for: Fire safety Manual handling and use of lifting and safe transfer equipment. Infection control Care of older people with dementia Recognising and reporting of abuse of older people Wound care Some of the staff working in the home have English as their second language and recognise that they sometimes have problems communicating with the residents and other members of staff. The manger for the home is addressing this and has arranged English language and communication training for the staff that require it. All new staff undertake a period of induction training. Although this programme appears to be fairly comprehensive it is not based on the “Skills for Care” model. This was discussed with the manager of the home who has agreed to obtain more information about this and will implement this as soon as possible. Linford Nursing Home DS0000011430.V278815.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): 31,33,35 and 38 The manager of the home is able to demonstrate that he is suitably qualified to ensure that the home is well run and that the needs of the residents are met. Systems have been introduced to ensure that the home is run in the best interests of the residents. Procedures are in place to ensure that residents’ financial interests are safeguarded Close monitoring of practices within the home safeguard the health, safety and welfare of residents, staff and visitors to the home. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 17 EVIDENCE: Since the last inspection in September 2005 a new manager has been employed and has been in post since November 2005. The manager has had previous experience as a manager both in the private sector and the National Health Service. He is a registered nurse working with patients with mental health sector. His registration with the Commission is pending and he is will be undertaking his registered manager’s award in February 2006. Since coming into post at Linford Park, the manager has set up regular meetings with staff to improve communication with them. Staff spoken to said he informs them of any changes and that they have the opportunity to put forward suggestions. Meetings with families of residents have been held and were well attended. A survey in the form of a questionnaire is to be sent out to residents and their families to enable the manager to assess where changes in the services provided in the home may need to be changed and bring about further improvements. All policies and procedures for the home require updating. The manager has agreed to do this at the earliest opportunity. The home looks after small sums of money for some residents. Records of outgoing and incoming sums of money are kept. The money is kept in a bank account, which does not accrue interest, and the bank charges are paid by the home. There are individual account sheets for each resident and receipts are available for all money spent. The current system is quite complicated and as each individual resident’s cash is not stored in the home they do not have immediate access to their money especially at weekends. The inspectors were unable to ascertain if the balance recorded matched the balance kept for each resident. Standard 38, fire safety records, was assessed during a visit to the home on 22nd December 2005. On previous visits to the home the fire safety records did not clearly demonstrate whether regular training for all staff had been undertaken. During the visit in December 2005 the records were available for inspection and were found to be up to date and clearly demonstrated that staff had undertaken regular and appropriate training. The records also showed that fire safety equipment was regularly tested and maintained. These records were examined during this inspection and demonstrated that fire safety standards are being maintained. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 18 Staff confirmed that this training takes place and that they receive training for safe moving and handling. The manager provided certificates showing that regular maintenance and servicing of equipment and systems used in the home takes place. The kitchen was inspected and was found to be very clean and tidy. The Environmental Health officer visited the home on December 14th 2005. One recommendation was made that new fridge thermometers were to be provided. This has been complied with and the new thermometers are in place. Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 19 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 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 X X X X X X X X X STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 20 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. 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. Refer to Standard Good Practice Recommendations Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Linford Nursing Home DS0000011430.V278815.R01.S.doc Version 5.1 Page 22 - 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!