Inspection on 16/02/06 for Long Lea

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

Long Lea 02/03/09

Long Lea 16/01/07

Long Lea 02/08/05

Long Lea 24/02/05

Long Lea 23/06/04

Similar services:

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Maple Lodge

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

CARE HOMES FOR OLDER PEOPLE Long Lea 113 The Long Shoot Nuneaton Warwickshire CV11 6JG Lead Inspector Justine Poulton Unannounced Inspection 16th February 2006 09:20 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 Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Long Lea Address 113 The Long Shoot Nuneaton Warwickshire CV11 6JG 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) 02476 370553 02476 370553 Dwell Limited Tracey Harris Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Long Lea is a care home providing personal care and accommodation for 25 older people aged 65 years and over. It does not offer any specialist services. The home is located on the outskirts of Nuneaton, and is close to shops, pubs, the post office and other amenities. The accommodation is provided in an extended bungalow with suitable access to service users. The home has 23 bedrooms, 22 of these are single with en-suite facilities. One room is shared. There are currently four assisted bathroom areas and four WCs situated around the home. Communal areas include two large lounges, a small lounge and a dining room. The home has extensive gardens that are well maintained and easily accessible. At the time of this inspection building work was in progress to extend the laundry and kitchen facilities. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday and was carried out from 9:20am until 13:05pm. The residents and staff co-operated fully with the inspection. A total of 7 standards were inspected on this occasion of which 4 had shortfalls. Three requirements from the previous inspection have been carried forward as they were not fully met at this inspection. All of the residents were at home for all or part of the inspection, a number of whom were spoken informally. Staff on duty were also spoken with during the inspection informally, as was one relative. In addition to this, records, files and policies and procedures were also inspected. The inspector would like to thank the residents, manager and staff for their cooperation and hospitality during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Although it was stated that residents and their relatives are involved in planning care no means of evidencing this was available. More care and attention must be taken by staff when transcribing medication information onto medication administration records by hand to ensure that all of the necessary information is recorded. Staff undertaking financial transactions for Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 6 residents must sign the expenditure records in order to minimise the potential for financial abuse. 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. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: Key standards 3 and 6 were inspected at the last inspection of this home which took place on 2 August 2005, and were met. No other standards in this section were inspected on this occasion. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 Residents health-care, personal and social care needs are identified on their care plans and are being met with appropriate specialist support. Improvements are necessary to the homes procedures for recording medication. EVIDENCE: Key standards 8 and 10 were inspected at the last inspection of this home which took place on 2 August 2005 and were met. Key standards 7 and 9 were also inspected at this inspection and had minor shortfalls. Requirements were made for all care plans to be current and to accurately record each residents health, social and personal care needs . Examination of three residents care planning documentation confirmed that this information is now recorded. A requirement for a system which involves residents relatives or their representatives in determining the care required was also made. Although the Senior Care Assistant on duty said that this had been undertaken, there were no records of signatures available on care planning documentation to confirm this. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 10 A requirement was made under standard 9 for the registered manager to ensure that MAR sheets (medication administration records) are accurately transcribed by hand, and for medications that are prescribed to be given as required to specify the criteria for administration. Examination of all of the residents’ medication administration record sheets provided continued evidence of three further incidences of incorrectly transcribed medications or omitted criteria for administration of ‘as required’ medications. This requirement is therefore carried forward and must be addressed. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 11 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 and 13 The home enables residents to enjoy a lifestyle of their choosing, and encourages relationships with families and friends to be maintained. EVIDENCE: Key standard 15 was inspected at the last inspection of this home which took place on 2 August 2005, and was met. A number of residents were spoken with during the inspection, all of whom were very positive about the home and their experience since moving in. One or two said that they would prefer to be still living in their own homes, but the staff had gone out of their way to ensure that they settled in, and started to feel ‘at home’ in a relatively short period of time. Throughout the inspection it was observed that a number residents were visited by family members and friends. Residents spoken with talked about meals out and outings with their relatives that they had enjoyed recently. One relative spoken with said that he visits his mother generally on a daily basis, and has always found the staff to be open and welcoming. One resident went out for lunch with her family during the inspection. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Suitable procedures are in place to ensure that any complaints that are received are managed, investigated and dealt with appropriately. EVIDENCE: Key standard 18 was inspected at the last inspection of this home which took place on 2 August 2005, and was met. The home has a complaints procedure in place. In addition, an easy to understand straight forward leaflet explaining how to make complaints and compliments is available for the residents. Examination of the homes complaints record confirmed that there have been no complaints made since the last inspection. Residents spoken with were quite happy with the home, and said that they had no complaints at the present time, but would be happy to raise them if they did in the future. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 Planned maintenance is continuing within the home. EVIDENCE: Key standard 19 was inspected at the last inspection of this home which took place on 2 August 2005, and was met. A requirement that had been carried forward from a previous report, to the last report, which was for suitable sluicing facilities to be provided, continues to be ongoing as work has not yet been completed. This requirement will therefore be carried forward again as being part met. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: Key standards 27, 29 and 30 were inspected at the last inspection of this home which took place on 2 August 2005, and were met. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 15 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 There is a minor shortfall in the homes procedures for correctly accounting for residents personal monies. The addressing of this will further enhance current practices for supporting residents with thier personal finances. EVIDENCE: Key standards 33 and 38 were inspected at the last inspection of this home which took place on 2 August 2005, and were met. It was not possible to fully inspect key standard 35 as the financial interests of the residents are looked after by the registered manager, who was not available on the day of the inspection. The senior care assistant in charge on the day of the inspection had access to residents’ personal spending moneys, which were kept in a locked safe in the managers office. The balances and records of financial transactions of the personal monies checked during the Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 16 inspection were satisfactory, however it was noted that there were no signatures of either staff or the resident against any transactions. Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 17 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 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x x x 2 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 2 x x x Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 18 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 OP7 Regulation 15 Requirement Timescale for action 14/04/06 2. OP9 13 3. OP21 23, 16 4. OP35 13(6) A system for evidencing that residents or their representatives have been involved in determining care must be implemented and records kept. (Carried forward from last inspection, 02/08/05) The registered manager must 31/03/06 ensure that MAR sheets are accurately transcribed by hand. Medications prescribed to be given as required must specify the criteria for their administration. (Carried forward from last inspection, 02/08/05) The registered person must 30/06/06 ensure that suitable sluicing facilities are provided. (Old timescale 02/08/05 part met, work has commenced on new build which includes the provision of suitable sluicing facilities) The registered person must 31/03/06 make arrangements for residents expenditure records to be signed by staff in order to be able to effectively account for peoples’ personal monies. DS0000004230.V271685.R01.S.doc Version 5.1 Long Lea Page 19 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 Long Lea DS0000004230.V271685.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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. 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