Inspection on 06/09/05 for Lingfield House

This inspection was carried out on 6th September 2005.

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

Lingfield House 15/08/06

Lingfield House 15/02/06

Lingfield House 25/01/05

Lingfield House 28/09/04

Similar services:

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Insight - Eastchurch

Southfields

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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 Jo Hartley Unannounced 6 September 2005, 15:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lingfield House Address Lowdells Lane, East Grinstead, West Sussex, RH19 2EA 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) 01342 301782 Alliance Home Care (Learning Disabilities) Limited Mr William James Marlow Care Home (CRH) only (PC) 6 Category(ies) of Learning Disabilities (6) registration, with number of places Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 January 2005 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. Mr William Marlow is the registered manager responsible for the day-to-day running of the home. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 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 four hours. The inspector examined information held on the service file since the last inspection in January 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose During the inspection the inspector spoke to all of the service users present, and one member of staff. The inspector undertook a tour of the premises and looked at three care plans and three staff files. Various record books, policies and procedures were also examined. 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 H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 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 standard(s) 2 The needs and aspirations of service users are assessed prior to admission. EVIDENCE: Three service users’ files were inspected and all held information and assessments gathered prior to admission. There have been no new admissions into the home since 1999. Every service user has an individual care plan. Restrictions on choice and freedom were seen to be clearly recorded with reasons for the restrictions. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 8 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 standard(s) 6, 9 Assessed and changing needs of service users are recorded in individual care plans. Service users are able to take responsible risks as part of their lifestyle. The manager should ensure that reviews take place at least every six months, and care plans updated accordingly. Individual risk assessments need to be put in place. EVIDENCE: Care plans examined during the inspection were seen to be thorough and included personal goals and changing needs. Restrictions on choice and freedom were clearly recorded. Care plans are reviewed on a yearly basis with the placing authority, however there was no evidence of in-house reviews taking place. A monthly report is drawn up for each service user. The manager confirmed that changing needs identified in the monthly reports are used to update care plans. The manager needs to ensure that care plans are reviewed at least every six months, and that agreed changes are actioned and recorded. General Health and Safety risk assessments were seen on service users’ files. However, there were no specific risk assessments regarding individual needs, Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 9 restrictions, or behaviours. The manager needs to ensure these are put in place and reviewed regularly. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13 Service users are assisted in taking part in age, peer and culturally appropriate activities and to be part of the local community. EVIDENCE: An activity programme was seen that included trips out to bowling, cinema, trampoline, local attractions, pubs, shops and garden centres. A service user showed the inspector pictures from the holiday he had just returned from. Another service user told the inspector that they he was about to go on holiday with staff. The manager informed the inspector that service users are accompanied by staff on two holidays a year. Two service users have been enrolled in college courses for the forth-coming term. One resident told the inspector how staff assist him in visiting a friend on a regular basis. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19, 20 Service users’ physical and emotional needs are met by the home. Due to the high level of needs of the present service users at Lingfield House, no one is able to administer their own medication. Service users are protected by the home’s policies and procedures for the handling of medication. EVIDENCE: The health and emotional needs of service users were seen to be clearly stated in the care plans sampled. All health appointments and outcomes are recorded. A chiropodist visits the home on a regular basis. Information on medicines taken by service users, including possible side effects, is kept on file. It was evident from the records seen that service users receive the health and emotional support they need. At present there are no service users living at Lingfield House who are able to administer their own medication. The homes’ policies and procedures regarding medication were inspected and found to be adequate. Since the last inspection the home has compiled guidance for staff on the use of homely remedies. Records of the receipt, administration and disposal of medication were inspected and found to be in order. Staff files inspected showed that staff have received training in the handling of medication. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 12 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 standard(s) 23 Service users are protected from abuse by the homes’ policies, procedures, training and recruitment process. EVIDENCE: 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. There is a copy of the West Sussex Multi Agency Policy and Procedure for the protection of vulnerable adults available to staff. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 30 Lingfield House is homely, comfortable, safe and clean throughout. 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 service users. The garden is also 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 H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Lingfield House has a training and development programme to enable staff meet the needs of service users. EVIDENCE: 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. On the day of the inspection the inspector met two members of staff who had been on a Makaton training course on that day. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 42 The home is well run by a manager who is experienced in providing for the needs of the service users in the home. Service users’ views are taken into account in the quality audit that has recently been put in place in the home. The home has policies, procedures and training in place to protect the health, safety and welfare of service users. EVIDENCE: Mr. Marlow, the registered manager, is currently undertaking an NVQ level four in management. He has nearly completed this, and says that he has enjoyed taking the course. Mr. Marlow worked at Lingfield House prior to becoming the registered manager and is familiar and aware of the needs of service users. Since the last inspection Mr. Marlow has set up a quality audit. Feedback from service users is also sought through regular residents meetings. Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 16 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 H60-H11 S14610 Lingfield House V247244 060905 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 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lingfield House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 x H60-H11 S14610 Lingfield House V247244 060905 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 6 Regulation 15 Requirement Care plans are to be reviewed at least every six months and updated to reflect changing needs. Agreed changes to be recorded and actioned. Risk assessments need to be developed to include risks specific to individual service users. Timescale for action 6/12/05 2. 9 13 6/12/05 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 Lingfield House H60-H11 S14610 Lingfield House V247244 060905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 H60-H11 S14610 Lingfield House V247244 060905 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. 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