Inspection on 12/02/09 for Longcliffe Nursing Home

This inspection was carried out on 12th February 2009.

CSCI found this care home to be providing an Good service.

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

Longcliffe Nursing Home 12/04/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Longcliffe Nursing Home 300 Nanapantan Road Loughborough Leicestershire LE11 3YE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Cowley     Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Longcliffe Nursing Home 300 Nanapantan Road Loughborough Leicestershire LE11 3YE 01509236256 01509266379 longcliffenursinghome@daisybroadband.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Shankar Leicester Ltd care home 42 Number of places (if applicable): Under 65 Over 65 42 42 old age, not falling within any other category physical disability Additional conditions: 0 0 No one falling within category OP may be admitted into the Longcliffe Nursing Home there are 42 persons of category OP already accommodated within this home. No one falling within category PD(E) may be admitted into Longcliffe Nursing Home where there are 42 persons of category PD(E) already accommodated within this home. No person to be admitted to Longcliffe Nursing Home in categories OP or PD(E) when 42 persons in total of these categories/combined categories are already accommodated in this home. Date of last inspection Brief description of the care home Longcliffe Nursing Home is situated in the rural village of Nanpantan on the edge of Charnwood Forest. It is registered to accommodate 42 older people, some of whom have physical disabilities. The property, an old coaching inn, has both single and double bedrooms. It is on two floors with a passenger lift for access. Two singles and one double bedroom have Care Homes for Older People Page 4 of 27 Brief description of the care home ensuite facilities. There are two lounges and dining room. At the rear of the property is a secluded garden area with seating, and a car park. The home is staffed by qualified nurses and carers. There are good local transport links, and shops and a pub nearby. The fees range from £550 to £700 per week depending on care needs. There are additional charges for hairdressing, chiropody, holidays, and newspapers. Further information about the home is available from the Manager. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support Care Homes for Older People Page 6 of 27 their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to five other residents, a visitor, the Acting Manager, Owner, Deputy Manager, administrator, activities organiser, three carers, the cook, and the cleaner. What the care home does well: What has improved since the last inspection? As a result of listening to residents and relatives suggestions a choice of hot meals at teatime has been introduced. All the windows have been replaced, there is new dining room furniture, and new profiling (adjustable) beds have been installed in some of the bedrooms. A new Acting Manager has been appointed. She is a qualified nurse and has the Registered Managers Award (a recognised qualification for people who run care homes). She has substantial experience of working in and managing care and nursing Care Homes for Older People Page 8 of 27 homes. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) Evidence: Residents talked to us about how chose to come to Longcliffe. One resident said, My family chose this home because its clean, the carers are kind, and the foods nice. Another commented, I went to look at a few homes and this was best by far. A senior member of staff assesses all residents who are interested in moving in. Assessments usually take place in their own homes, in hospital, or during a visit to Care Homes for Older People Page 11 of 27 Evidence: Longcliffe. Relatives and health professionals are consulted to get their views on the residents needs. Assessments help to ensure the home is suitable for the resident in question so the staff can care for them properly. Potential residents are invited to visit as often as they like prior to moving in to help them decide if the home is right for them. Standard 6 was not inspected, as this home does not provide intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) Evidence: All residents have care plans, which set out how their health, personal and social needs are to be met. Residents and their relatives, where appropriate, are consulted when care plans are written and sign to say they are in agreement with them. Those care plans inspected were well-written and gave clear instructions to staff about how best to meet residents needs. Case tracked residents talked to us about their preferences with regard to personal care, likes/dislikes, and interests, and it was positive to note that this information was in their care plans. Care Homes for Older People Page 13 of 27 Evidence: Residents are registered with local GPs and District Nurses visit the home when necessary to provide treatment. Records showed that residents have access to a full range of health care treatment including input from CPNs, chiropodists, dentists (NHS and private), and opticians. All residents interviewed praised the nurses and carers who look after them. One said, The care here is fantastic and i have absolutely no complaints. Medicines are properly stored and admistered by nurses. Where possible, residents are encouraged to take care of their own medication with staff support as necessary. It was observed during the inspection that staff treated residents with respect and helped to maintain their dignity by providing care discreetly and sensitively. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents social and cultural needs are identified and met. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) Evidence: The homes Activities Organiser provides a varied programme of activities for residents. Each week has a theme, which at the time of the inspection was Valentines. Residents had a talk on the history of Valentines Day, sing-a-long love songs, and a craft session where they made Valentines cards. Activities are provided on both a group and an individual basis. Some residents have one to one activities in their rooms. This is good practice as it enables all residents to take part, including those who are unable or unwilling to take part in group activities. During the inspection visitors were seen being made welcome at Longcliffe and encouraged to make themselves at home. One visitor told us, I always feel relaxed Care Homes for Older People Page 15 of 27 Evidence: when I visit. And a resident commented, My family love to visit me here. They come in and have a cup or tea or coffee and chat to me and the other residents and the staff. Lunch on the day of inspection was gammon and parsley sauce or faggots in gravy, with potatoes, green beans, and cauliflower. Dessert was rhubarb pudding, tapioca, or ice-cream. We talked to the cook who told us that healthy eating is promoted in the home and fresh produce is used wherever possible. Residents with particular dietary needs, for example those on soft or pureed food, vegetarians, and diabetics are well catered for. One resident told us, I have to have my food liquidised and the cook does all the vegetables separately so it looks nice and I can taste the different flavours. Everyone at the hone we talked to praised the food. A resident said, The cook makes fresh food every day. A visitor told us they often stayed for lunch and the food was always well cooked. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents and their representatives are encouraged to talk to staff about any concerns they might have. The safeguarding procedure is in need of improvement. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) Evidence: All the residents we talked to said they would speak up if they were unhappy about anything at Longcliffe. One resident told us, If I had anything to say Id say it. Another said, If there was every anything wrong the Owners would sort it out. The home has a written complaints procedure, which is given to all residents (or their representatives) prior to admission. A copy of the complaints procedure is also displayed in the home. There have been no complaints about the home since the last inspection. The home has a safeguarding procedure in place which explains what staff must do if they have concerns about a residents well-being. This procedure should be improved, as at present it is unclear about the role of social services as lead agency during a safeguarding investigation. The Acting Manager agreed to re-write this procedure so Care Homes for Older People Page 17 of 27 Evidence: staff are clear about who to contact should a safeguarding concern arise. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents live in an environment that is safe, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) Evidence: The premises, and old coaching inn, are homely and non-institutional. Many of the original features of the property have been kept and bedrooms are unique and personalised. All areas inspected were cleaned to a high standard, and well decorated and maintained. To the rear of the home is a secure patio garden with a fountain and a shaded seating area. A visitor told us Its always warm, comfortable and clean as soon as you open the door. A recent comment in the visitors book read, After visiting this home I am so impressed about the wonderful cleanliness and the bright atmosphere of the whole place. With the permission of their occupants we looked at three bedrooms. All were spacious and well-furnished. One resident commented, My rooms big which is good because I Care Homes for Older People Page 19 of 27 Evidence: have a lot of visitors. Another said, I like my room because I have the door open and I can see people coming and going and I can hear the staff talking in the kitchen. Since the last inspection there have been a number of improvements to the premises including double glazing throughout, new dining room furniture, and new profiling (adjustable) beds in some of the bedrooms. The Acting Manager has also ordered a range of equipment for residents with limited mobility including wheelchairs, pressure cushions, and shower seats. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. An established staff team meets residents needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) Evidence: The staff we met were friendly and helpful. We saw they got on well with the people who live in the home. All the residents and relatives we talked to praised the staff team. Residents comments included, All of the staff are marvellous, The staff are always finding time to come and talk to me, and Some of the staff bring their children in to see me. I love that. A visitor told us, The staff cant do enough for the residents. We looked at the rota, and talked to the people who live and work at Longcliffe, and found that the home is well staffed. There is always at least one qualified nurse of duty. Residents said they didnt have to wait long if they needed staff assistance. One told us, Ive only got to press my bell and theyre here and another said, If I call for the staff they come straight away. All new staff are subject to CRB and POVA First Care Homes for Older People Page 21 of 27 Evidence: checks, and references are obtained. Records were examined and showed that no one is allowed to start work in the home until all the necessary background checks have been done. This will help to ensure residents are safeguarded. Staff receive good training opportunities. The Skills for Care induction is used, followed by NVQs and short courses. Records showed that staff are encouraged to develop their existing skills and learn new ones. Staff meetings are held once a month and staff appraisals are in the process of being introduced. The training and supervision arrangements in the home help to ensure that staff are competent to do their jobs. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents live in a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) Evidence: Since the last inspection a new Acting Manager has been appointed. She is a qualified nurse and has the Registered Managers Award (a recognised qualification for people who run care homes). She has substantial experience of working in and and managing care and nursing homes. It is recommended that the Acting Manager applies for Registration as soon as possible so the home meets its legal requirements to have a Registered Manager in post. The Owners are based in the home and are happy to discuss the home with residents, Care Homes for Older People Page 23 of 27 Evidence: relatives, and staff on a daily basis. One resident told us, The Owners are ever so good. They come and talk to me. Th Acting Manager actively involves residents and relatives in the running of the home and ensures their views are heard and acted upon. She has already distributed a questionnaire to the residents to give them the opportunity to comment on the home, and a questionnaire for relatives is to follow. A relatives coffee evening was also planned for the evening of the day of inspection, so relatives could meet the new Acting Manager and chat about the home with her. As a result of listening to residents and relatives suggestions a choice of hot meals at teatime has been introduced. All residents handle their own financial affairs, or their relatives manage them for them. Records showed that the Owners have taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. A full-time handyman is employed to oversee this area. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 18 The safeguarding procedure should be re-written so it gives clear information about the role of social services as lead agency during any safeguarding investigation. The Acting Manager should apply for Registration as soon as possible so the home meets its legal requirements to have a Registered Manager in post. 2 31 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!