This inspection was carried out on 2nd December 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Linson Court Nursing Home Dark Lane Wellington Street Batley West Yorkshire WF17 5RU Lead Inspector
Tracey South Unannounced Inspection 09:45 2 December 2005
nd 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 Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 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. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Linson Court Nursing Home Address Dark Lane Wellington Street Batley West Yorkshire WF17 5RU 01924 445253 01924 472461 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) Tri-Care Limited Mrs Julie Roper Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Terminally ill over 65 years of age (2) of places Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One of the above TI(E) may be used for the named person - category TI for the duration of their accommodation in the home 16th June 2005 Date of last inspection Brief Description of the Service: Linson Court is owned and managed by Tri-Care Ltd. Linson Court is a large, detached, purpose built care home providing nursing care for up to 40 older people. All rooms are single and en-suite. Garden and patio areas are located at the rear of the building, and there is parking within the grounds. The home is situated just outside Batley town centre and is well served by the local bus service, the nearest bus stop being approximately 200 yards away. All local shops and amenities are within 10 - 15 minutes walking distance. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report refers to an unannounced inspection at the home on Friday 2nd December 2005. The inspection took place over 3 hours. This is the second inspection to take place this year. The majority of core standards were assessed during the first inspection, which left only 4 standards to be assessed on this occasion. There were 37 residents living at the home, 4 of which were spoken to and they provided information for his report. What the service does well: What has improved since the last inspection?
Social activities are now recorded in the resident’s own case file. Seventeen out of 26 care staff have achieved their NVQ level 2 in care. Evidence that residents are provided with variations to that on the menu is now recorded in writing. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 6 The complaints procedure has been amended and informs people that their complaint will be dealt with within 28 days. Copies of the regulation 26 reports are now being sent to the CSCI office. Fire drills are taking place on a regular basis. Records of the drills are maintained and include the number of staff present. 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. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 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 Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 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): None of the above standards were assessed on this occasion. EVIDENCE: Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 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): 9 Staff do not follow medication procedures consistently. EVIDENCE: Medication records were examined. Not all medication stocks could be easily reconciled. The medication records in place were difficult to follow and it was unclear whether or not some items of medication had been administered. Staff must ensure that they make it clear by using codes or their initials to evidence that medication has been given. When a resident refuses their medication it should be recorded in writing. The medical records are designed to enable such information to be detailed on the reverse side of the form. A current list of staff authorised to administer medication should be put in place and preferably kept in the medication file. All medication entering and leaving the home is accounted for. New arrangements have been made for the disposal of surplus medication as the pharmacy providing the medication no longer deals with the disposal of medication in nursing homes.
Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 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 There is a good range of activities on offer at the home. EVIDENCE: As recommended in the last inspection report, all activities are now recorded in the resident’s own case file. There are a number of activities planned for over the festive period. The manager explained how 5 residents were attending Dewsbury Town Hall to watch a dancing show. A “trimming up” party is organised for 5th December 2005, residents and relatives are encouraged to join in. The residents can expect to be entertained throughout December when a number of singers will visit the home. The manager spoke of how a number of residents will share Christmas day with their loved ones who are invited to Christmas lunch. Each resident is set to receive a Christmas gift. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 11 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): None of the above standards were assessed on this occasion. EVIDENCE: Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 12 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 Resident’s live in a well-maintained environment. EVIDENCE: This standard was assessed during the inspection on 16th June 2005 and the purpose of looking at this standard again was in respect of the ongoing fire safety issues. The fire safety officer visited the home on 22nd July 2005 and highlighted areas of fire safety work which was still outstanding. The manager is confident that the majority of work has been completed. The organisation must confirm that the outstanding work has been completed. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 13 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): None of the above standards were assessed on this occasion. EVIDENCE: Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 14 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): 35 Residents’ financial interests are safeguarded. EVIDENCE: Resident’s personal finances were inspected and found to be correct. The manager explained that audits of residents’ monies are carried out each month. Records and receipts are kept of possessions handed over for safekeeping. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 1 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Requirement All medication administered to residents must be signed for contemporaneously by using staff initials or inserting the appropriate code. Timescale for action 02/12/05 2. OP19 23(4) The organisation must send 30/12/05 confirmation, by 30.12.05, that all items listed in the fire officer’s report has been completed. 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. Standard OP9 Recommendation A current list of staff authorised to administer medication is required. Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Linson Court Nursing Home DS0000001088.V254483.R01.S.doc Version 5.0 Page 18 - 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!
