Inspection on 15/08/06 for Lingfield House

This inspection was carried out on 15th August 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lingfield House 15/02/06

Lingfield House 06/09/05

Lingfield House 25/01/05

Lingfield House 28/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Lingfield House Lowdells Lane East Grinstead West Sussex RH19 2EA Lead Inspector Ms J Hartley Key Unannounced Inspection 15th August 2006 11:45 Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 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 Lingfield House DS0000014610.V292440.R02.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 Adults 18-65. 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. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lingfield House Address Lowdells Lane East Grinstead West Sussex RH19 2EA 01342 301782 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) Alliance Home Care (Learning Disabilities) Limited Post Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Lingfield House is registered to provide personal care for up to six service users who have a learning disability (LD) and are aged between eighteen and sixtyfive years. Lingfield House is a detached two-storey care home situated within walking distance of East Grinstead, West Sussex. There is a well-maintained garden available to service users. Allied Home Care Limited owns the service. Mr Aslam Dahya is the responsible individual on behalf of the company. There is currently no registered manager at the home. The acting manager will be applying for registration. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over a period of nearly three and a half hours. The inspector examined information held on the service file since the last inspection in February 2006, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. The home also returned a pre-inspection questionnaire, information from which is included in this report. During the inspection the inspector spoke to two service users, and two members of staff. The inspector undertook a tour of the premises and looked at four care plans and three staff files. Various record books, policies and procedures were also examined. The current scale of charges is £1125 - £1325. What the service does well: 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. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 Prospective service users have the information they need to make an informed choice about where to live. Prospective service users’ individual aspirations and needs are assessed prior to admission and they would have an opportunity to visit and “test drive” the home. The outcome for residents is good EVIDENCE: The home has an up to date Statement of Purpose that sets out the aims, objectives and philosophy of the home. It also has a Service User Guide that includes clear and accessible information about the home for prospective service users. Both documents were seen prior to the inspection. The residents at Lingfield House have lived there together for a number of years. There have therefore been no admissions for several years. The home has an admissions procedure in place that was seen before the inspection. Full assessments were seen in the files of current residents. Each resident has an individual plan of care that clearly sets out any restrictions to choice and freedom and the reasons for these being in place. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 8 The home’s admission policy includes giving prospective residents the opportunity to visit the home. The acting manager said that the home would be unlikely to take emergency admissions if they had a vacancy, as careful planning and assessment would be needed to ensure that a new resident would fit in with current residents. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Residents’ assessed and changing needs and personal goals are reflected in their individual plan. They are able to make decisions about their lives with assistance as needed. Residents are consulted on, and participate in, all aspects of life in the home and are supported to take risks as part of an individual lifestyle. The outcome for residents is good. EVIDENCE: It was clear from daily records and observation of staff working with residents that residents are encouraged to make choices about their lives. During the inspection one resident was discussing with the manager what he wanted to spend his money on. Another resident told the inspector that he is decorating his room with assistance from staff. He said that he has chosen what colours to have the walls painted. Some staff have received Makaton training to assist them in communicating with one of the residents. Staff were witnessed communicating and interacting positively with residents throughout the inspection. Residents are encouraged Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 10 to participate in the day to day running of the home. They have input into the menu, go shopping for groceries and are assisted in doing daily chores such as taking their laundry to the washing machine. Evidence of residents’ meetings was seen at the inspection. Care plans and daily records show that residents are able to take responsible risks. Clear risk assessments are in place. The home has a Missing Persons procedure, and a detailed form in place to enable them to respond promptly to any unexplained absences. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Lingfield House provides residents with opportunities for personal development. Residents are able to take part in age, peer and culturally appropriate activities and are part of the local community. The home supports residents in maintaining relationships with family and friends. Residents’ rights are respected and responsibilities recognised in their daily lives. Residents are offered a healthy diet and enjoy their meals and mealtimes. The outcome for residents is good. EVIDENCE: Care plans and daily records show that residents are offered the opportunity to maintain and develop independent living skills. Residents are supported and encouraged within the home to engage in independent living skills such as tidying their rooms, bringing their laundry down and shopping for food. Three residents also attend college. One resident attends “Work Matters” which is an employment scheme. All residents are given the opportunity to attend Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 12 religious services of their choice, most decide not to except one resident who is supported in attending church when she wants to. The home provides a range of activities including swimming, horse riding, trampolining, going to see shows and films and various other activities. Evidence was seen in care plans that residents are supported in maintaining links with family and friends through visits and telephone contact. Staff were witnessed being polite to residents and treating them with respect. Staff only enter residents bedrooms after knocking on their doors. One resident has chosen to have a key to his room. The menu seen on the day of the inspection was varied and included fresh fruit and vegetables. Shopping for food is done nearly every day to ensure that food is fresh. Residents are involved with choosing the menu and reported that they like the food provided. A list of each resident’s likes and dislikes regarding food is kept on the wall in the kitchen. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Personal support is provided in a sensitive and flexible way. Residents’ physical and emotional needs are met by the home. Due to the high level of needs of the present residents at Lingfield House, no one is able to administer their own medication. Residents are protected as far as possible by the home’s policies, procedures and staff training on the handling of medication. The outcome for residents is good. EVIDENCE: Staff provide residents with guidance and support on personal hygiene issues. The level of support required by each resident is clearly recorded in individual care plans. One resident said that he is able to choose they want he wears each day. Two residents spoken to said that they have a choice about bed times and what time they get up. Residents health needs are clearly recorded in their individual care plans. Records show that residents have regular check ups with dentists, opticians and chiropodists. Additional support is provided by community health services. Health appointments and outcomes are recorded in separate health files for each resident. All residents have designated keyworkers and co-keyworkers. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 14 None of the residents currently living at Lingfield House are able to administer their own medication. The home has clear policies and procedures regarding medication in place. Records of the receipt, administration and disposal of medication were inspected and found to be in order. Information on medicines taken by service users, including possible side effects, is kept on file. Staff files inspected showed that staff have received training in the handling of medication. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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, 23 Residents feel their views are listened to and acted on. As far as possible residents are protected from abuse, neglect and self harm through the homes policies, procedures and staff training. The outcome for residents is good. EVIDENCE: The home’s complaints policies and procedures were inspected and found to be clear and effective. Lingfield House keeps a record of any complaints made. This was seen during the inspection. No complaints had been recorded since the last inspection. One resident spoken to said that he would talk to his keyworker or the manager if he was worried about something. The home’s policies and procedures regarding recruitment, service users’ money, adult abuse and whistle blowing were seen to be thorough. Staff training records and certificates seen on the day of the inspection showed that staff have received training in Adult Protection from an outside agency. There is a copy of the West Sussex Multi Agency Policy and Procedure for the protection of vulnerable adults available to staff. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Residents live in a homely, comfortable and safe environment that is clean and hygienic. The home is suitable for its stated purpose. The outcome for residents is good. EVIDENCE: Lingfield House is a detached house close to local shops and amenities. On the day of the inspection it was seen to be very clean, and hygienic throughout. The house is well decorated and maintained, providing a homely comfortable environment for residents. One resident was in the process of redecorating his bedroom with support from staff. He said that he chose the colours himself. The kitchen and laundry facilities are domestic in scale and clean. The garden is well maintained, stocked with a variety of plants, and has plentiful seating for residents, visitors and staff. It is easily accessible to residents. The home has a maintenance programme to ensure that it is kept in good decorative order. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 The staff at Lingfield House are competent in their work and residents are well supported by them. The home is working towards the target of having fifty percent of care staff qualified to NVQ Level Two. Residents are supported and protected as far as possible by the home’s recruitment policy and practices. Their individual and joint needs are met by appropriately trained staff. Residents benefit from well supported and supervised staff. The outcome for residents is good. EVIDENCE: Staff were seen communicating and interacting positively with residents. Staff receive training in areas that are specific to the needs of the current residents, including: Learning Disabilities, Autism, Makaton and Challenging Behaviour. Staff training records and qualifications seen indicate that the staff team are competent and qualified to support the residents. The home has not yet achieved the requirement that fifty per cent of care staff have an NVQ Level Two. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 18 The home’s recruitment policies and procedures were inspected and found to be thorough. Three staff files were examined and found to include all the required documentation including two written references, Criminal Records Bureau and POVA checks. Staff records and training certificates seen during the inspection showed that the home provides a varied and thorough training programme to enable staff to meet the needs of residents at Lingfield House. All new staff receive induction training, and the home also has an induction programme for senior support staff in place. Evidence was seen that staff receive regular supervision with the manager of the home. The staff member the inspector spoke to during the inspection confirmed this. The member of staff said that they feel supported by the manager and by the high level of training provided by the company. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 ,42 The registered manager post at Lingfield House is vacant. There is an acting manager in post who will apply to be registered. The home has a quality assurance and quality management system in place that seeks the views of service users, relatives and staff. The home has policies, procedures and training in place to protect the health, safety and welfare of service users. The outcome for residents is good. EVIDENCE: The post for registered manager at Lingfield House is currently vacant. There is an acting manager in post who will be applying for registration in the near future. Allied Homecare has a Quality Assurance manager in post and has set up a quality monitoring system, which seeks the views of residents, staff and Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 20 relatives. Residents’ views are sought during house meetings and through the monthly Regulation Twenty-Six reports. The homes’ Health and Safety policies and procedures were examined and found to be satisfactory. Staff have to familiarize themselves with Health and Safety policies and procedures as part of their induction. They have to sign to say they have read and understood them. Records seen showed that training available to staff includes; First Aid, Food Hygiene, Moving and Handling, Fire Safety and Health and Safety. Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 22 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. 2. Standard YA32 Regulation 19 (5) (b) Requirement Fifty per cent of care staff (including agency staff) in the home achieve a care NVQ (by 2005). Timescale for action 15/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Lingfield House DS0000014610.V292440.R02.S.doc Version 5.1 Page 24 - 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!