Inspection on 19/04/07 for Locharwoods

This inspection was carried out on 19th April 2007.

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

Locharwoods 18/08/06

Locharwoods 10/02/06

Locharwoods 26/08/05

Locharwoods 01/10/04

Locharwoods 18/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Locharwoods 23 Carrs Crescent Formby Liverpool Merseyside L37 2EU Lead Inspector Mrs Trish Thomas Key Unannounced Inspection 19th April 2007 10:45 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 Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 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. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Locharwoods Address 23 Carrs Crescent Formby Liverpool Merseyside L37 2EU 01704 832047 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) locharwoods@hotmail.com Mr Stuart Gordon Pearson Mrs Charlie Pearson Mrs Linda Margaret Anderton Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 18 OP. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI. 18th August 2006 Date of last inspection Brief Description of the Service: Locharwoods is a care home for 18 older people. The home is owned by Mr. S. and Mrs. C. Pearson. Mrs. Linda Anderton is the registered manager. Locharwoods is a large converted house in pleasant and secluded gardens. Situated in a quiet residential area of Formby, the home is close to shops and local amenities. Locharwoods is staffed throughout the day and night and provides personal care, single accommodation, meals, laundry and in-house social activities. The weekly charge for Locharwoods is £398.00. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The methods used during this un announced inspection were, discussion with residents, the manager Mrs. Linda Anderton, the registered provider, Mr. Stuart Pearson and staff who were on duty. Records compiled in the home regarding care, staffing and health & safety were read and a tour of the premises and gardens was carried out. What the service does well: Before moving into Locharwoods, residents have been given a copy of the home’s service user guide, they have had their needs assessed and have been assured that their needs can be met in the home. A copy of the service user guide is on view in the reception area for residents and their visitors to read as they wish. All residents have contracts of residence and these are written in plain language and are easy to follow. Contracts include terms and conditions of residency, notice periods and fees payable. Locharwoods is registered for eighteen residents. A sample of the care plans of residents was read and these were satisfactory. The needs identified in their assessments were checked against action plans and had been addressed. The care plans are supported by risk assessments and monthly reviews of support needs with adjustments made accordingly. Diversity is recognised in the care planning process through recording each individual’s religious beliefs and arranging access to visiting ministers. The rights of those who do not wish to participate are also respected. Staff were showing respect for residents’ privacy and dignity during the visit. Bedroom and bathroom doors were kept closed and staff were respectful in the way in which they approached and spoke with residents. A resident said, “It is so relaxed here and I have no problems at all.” The lifestyle in Locharwoods meets residents’ expectations and preferences. A number of in–house leisure events are on offer and residents choose whether or not to take part. Residents said that their meals are very good. Two who commented said that they are consulted daily about what they would like to eat. Staff confirmed that there are alternative menus available each day, in accordance with the choices expressed. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 6 Locharwoods has a complaints procedure and, (with the service user guide), a copy is provided in the reception area for the convenience of residents and visitors. Residents who were spoken with said they would tell the manager if they had any complaints. They said she and the owners (who visit regularly) are approachable and helpful. The complaints procedure outlines timescales and lines of responsibility in managing the process. Locharwoods is well maintained and in good decorative order. There is an ongoing re-decoration programme. The home is very clean and well organised, whilst maintaining a homely and comfortable appearance and atmosphere. The communal areas are comfortable, well maintained and domestic in furnishings and décor. The gardens are well planted and very well maintained. There is a conservatory off the dining room, with good views of the garden, and there are lounges at the front and side of the home. Over 50 of staff have NVQ qualifications and there is an ongoing mandatory training programme and induction training for newly appointed staff. Mrs. Linda Anderton, has five years experience as registered manager of Locharwoods and holds a management qualification. The manager is well supported by the registered providers, Mr. & Mrs. Pearson, who live in the area and visit several times a week. What has improved since the last inspection? Since the last visit, a new storage area has been built which is of sound construction. This is to replace the previous building, which was made of wood and was several years old. To ensure that residents are protected in case of fire, alarm systems tests in Locharwoods are now carried out every week and these are recorded in the fire book. Medication administration records were in good order. In instances where no pharmacy printout is provided and it is necessary for staff to write the drug, dose and time to be administered, they are aware of the procedure. The writer must sign the additions and have a colleague check and sign also. This is necessary to avoid errors such as the resident receiving the wrong drug or dose. Staff files which were read, were well organised in a standardised format, following a recommendation made during the last key inspection. The information required was on the files and easily accessible under the new arrangements. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 8 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 Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents have the information they needs before moving into Locharwoods, and their needs have been assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 2 and 3. The home does not provide intermediate care and will not be assessed against standard 6. All residents have contracts of residence and these are written in plain language and are easy to follow. Contracts include terms and conditions of residency, notice periods and fees payable. Those who have been referred to Locharwoods are provided with the information they need before deciding to move in. They are given a service user guide, which includes a copy of the home’s complaints procedure. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 10 All residents have needs assessments carried out prior to admission (by social workers and/or staff from the home). A range of needs is assessed including, health, social and personal care, sensory abilities, continence, mobility and cognition. The identified needs form the basis of the individual’s care plan. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents are treated with respect and their health, personal care and social needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 7,8,9.10. Locharwoods is registered for eighteen residents. The care plans of three residents were tracked. The needs identified in their assessments were checked against action plans and were satisfactory. The care plans were supported by risk assessments and monthly reviews of support needs with adjustments made accordingly. All residents are registered with local general practitioners when they move in to Locharwoods and there was evidence in their health care records of referrals Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 12 to doctors, district nurses, local hospitals and paramedical services. Records of residents’ weight are maintained and monitored. All admissions to Locharwoods are subject to a twenty-eight day mutual trial period and prospective residents are encouraged to visit Locharwoods to meet residents and staff, before making the decision to move in. Diversity is recognised in the care planning process through recording each individual’s religious beliefs and arranging access to visiting ministers. The rights of those who do not wish to participate are also respected. Residents’ leisure interests are recorded in their care plans. A resident said, “I like to do the quiz, it is amazing how much I can remember. There is bingo sometimes. They have got it right for me, there is enough going on to keep me interested.” Locharwoods has a system for managing residents’ prescribed medication and staff who administer medication have received relevant training. Medication is stored securely and administered from pharmacy containers. Medication administration records for the current month were satisfactory at the time of visit. There are systems in place for the audit of all medication brought into the home and for monitoring returns to the pharmacy. Staff were showing respect for residents’ privacy and dignity during the visit. Bedroom and bathroom doors were kept closed and staff were respectful in the way in which they approached and spoke with residents. One resident said, “I like to stay in my bedroom most of the time, I like to have my meals with the others but want time to myself just now. I come and go as I please and no one interferes. I could not ask for more.” Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The lifestyle experienced in Locharwoods meets the residents’ expectations and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 12, 13, 14.15. Locharwoods provides a number of in-house activities for residents and there was evidence in their care plans of their preferences and participation in leisure events. One resident said she has an interest in art and likes to watch the birds from her bedroom window. Another said, “It is so relaxed here and I have no problems at all.” Residents said that their visitors are made welcome by staff and their privacy is respected when entertaining. A resident said her family visits regularly and she felt that it is important to keep contact with loved ones and not feel Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 14 forgotten. The home has links with the community through a local church group and access to advocacy services if necessary. Residents said that their meals are very good. Two who commented said that they are consulted daily about what they would like to eat. Staff confirmed that there are alternative menus available each day, in accordance with the choices expressed. Since the last visit, a new food store has been built and this provides space for fresh, chilled and frozen foods. Food stocks were high and were appropriately stored, particularly the meat, which was appropriately labelled and dated. The cook said there are deliveries of fresh fruit and vegetables as required and there were in store choices of breakfast cereals, juices, tea and coffee. There is a bright and comfortable dining room, which provides ample accommodation for all residents and is well decorated with freshly laid tables. The dining room is adjacent to the kitchen, and meals are served directly through a hatch. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ complaints are listened to and they are protected by procedures and training provided to staff of Locharwoods. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 16, 18. Locharwoods has a complaints procedure and with the service user guide, a copy is provided in the reception area for the convenience of residents and visitors. Residents who were spoken with said they would tell the manager or owners, if they had any complaints. The complaints procedure outlines timescales and lines of responsibility in managing the process. There have been no complaints received at CSCI about Locharwoods since the last visit. The home has adult protection and whistle blowing procedures. Staff who were spoken with had received POVA training and were aware of the indicators of abuse and procedures to be followed in the event of abuse of a resident being suspected. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Locharwoods is well-maintained and hygienic and provides comfortable accommodation for eighteen residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 19, 26. Locharwoods is well maintained and in good decorative order. There is an ongoing re-decoration programme, the most recent works being decoration of one of the lounges and construction of a new food store, which is situated in the rear garden. Future plans include replacing the existing kitchen units. The communal areas are comfortable, well maintained and domestic in furnishings and décor. The gardens are well planted and very well maintained. There is a conservatory off the dining room, with good views of the garden, and there are lounges at the front and side of the home. Residents appear to move freely Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 17 between all the communal spaces and their bedrooms. One resident said as spoken with in her bedroom, she said, “I have a lovely view of this tree and I spend ages looking at the birds. My bedroom is comfortable and I will put more photographs around when I have settled in. For now I am very comfortable.” There are toilets and bathrooms situated throughout the home for residents’ convenience. Locharwoods was very clean and well organised during the visit, whilst maintaining a homely and comfortable appearance and atmosphere. The home employs domestic staff and they are supplied with protective clothing (gloves and aprons). The home has procedures for infection control and the control of substances hazardous to health. Cleaning materials are locked away when not in use and COSHH procedures were being followed at the time of the visit. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs are met through staff numbers and skills and they are protected through the home’s vetting procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 27, 28, 29, 30. Staff rosters are maintained in Locharwoods and these provide evidence that staffing levels are consistently maintained. There were no residents of high dependency at the time of this visit and care staff numbers and skills were meeting presenting levels of need at that time. Ancillary staff, (cooks and cleaning staff), were on duty and the home employs a contract gardener. Residents said that staff are always there when needed and answer calls promptly and staff said they did not feel rushed in carrying out their duties. Staff are provided with job descriptions and contracts of employment and they said they were well supported by their employers, the registered providers, Mr. & Mrs. Pearson. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 19 Over 50 of staff have NVQ qualifications and there is an ongoing mandatory training programme and induction training for newly appointed staff. The home has a procedure for recruitment and selection, which includes, advertising posts, interviewing candidates and taking up references and vetting clearances for those who are appointed to posts. Three staff files were read and were satisfactorily maintained and well organised. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is managed with residents’ best interests and safety as a priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 31, 33, 35, 38. Mrs. Linda Anderton, has five years experience as registered manager of Locharwoods and holds a management qualification. During the visit, Mrs. Anderton showed a very good level of knowledge of resident’s needs. Staff said they are well supported by Mrs. Anderton and a resident said of her, “She is a very caring person. She has been of great support to me since I moved here.” Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 21 Mrs. Anderton confirmed that the home has a quality assurance system, carried out by a consultancy agency. The most recent quality questionnaires were read and gave positive responses to questions about Locharwoods, including those on care and support, staffing and the environment. Mrs. Anderton said that remedial action would be taken to address any negative responses received in the questionnaires. The home holds small sums of money (personal allowances) in safe keeping, on behalf of some of the residents. Records of transactions were seen and these had been satisfactorily maintained. The manager said the home does not become involved in residents’ personal financial affairs. These are selfmanaged, or family members have responsibility. For residents who need assistance or representation, and who do not have power of attorney in place or have any family, the manager would arrange access to local advocacy services to advise. Health and safety certification was in order and the fire book was satisfactorily maintained. Fire Book : Fire Risk Assessment 2007. Fire Equipment 11/4/07. Fire Escape routes and doors 10/04/07. Fire systems weekly tests 11/4/07. Lift serviced three monthly (last March 07) called during the visit, and in working order. Electrical Certificate 25/2/07. Portable Appliance Tests Feb 7. Annual Landlords Gas Certificate February 07. Legionella : Mr. Pearson confirmed that he has checked with the engineer and has been advised that the home does not require a legionella certificate due to the system in place for water storage in the building. Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 22 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 23 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 Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Locharwoods DS0000038689.V336857.R01.S.doc Version 5.2 Page 25 - 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!