Inspection on 16/01/08 for Longcroft

This inspection was carried out on 16th January 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longcroft 23/03/09

Longcroft 12/02/07

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

CARE HOME ADULTS 18-65 Longcroft 34 Swan Lane Wickford Essex SS11 7DD Lead Inspector Jenny Elliott Unannounced Inspection 16th January 2008 10:00 Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 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 Longcroft DS0000066439.V358055.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 Adults 18-65. 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. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longcroft Address 34 Swan Lane Wickford Essex SS11 7DD 01268 572066 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) Veneta Ann Samuel Batt Tony Brian Batt Alex John Kamchira Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th February 2007 Brief Description of the Service: Longcroft is a single story building registered to accommodate 5 persons with a mental disorder. There are 5 single bedrooms all with an en-suite facility. There is a communal lounge area in the home and 2 further separate designated areas for visitors and ‘smokers’ within the home’s grounds. The home has an open plan kitchen/dining area and a functional laundry area. The garden area to the rear of the home is pleasant and there is space for 4/5 cars on the forecourt. The home is decorated and furnished to a good standard. The home is situated on the main road into Wickford town centre and is therefore in close proximity of local transport and community facilities. The home is in keeping with domestic dwellings within the area. The home’s Statement of Purpose and Service User’s Guide are available upon request from the home. The manager said that the fees were £1000.00 £1500.00 per week. There are additional charges for items of a personal nature. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Information for this report was gathered from a visit to the home on 16th January in addition to information received by the Commission since the last visit to the home. Five and a half hours were spent at the home. During this time a tour of the building was undertaken. Records were inspected, and time was spent talking to people who live and work at the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who come to live at the home can be confident that their needs and aspirations will be fully assessed. EVIDENCE: The records belonging to one person living in the home were inspected. These included a comprehensive mental health assessment and risk analysis. The service asks people making a referral to complete an application form that gives prospective residents an opportunity to identify their own goals. There was a Contract on file that included the cost of living at the home and who is responsible for payment. The Terms and Conditions of residency gave out of date information about how to contact the Commission for Social Care Inspection (The Commission) and misleading information about the role of the Commission in respect of complaints about the service. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect to have their needs and aspirations identified within a plan of care. EVIDENCE: Documentation produced by the referring agency for a person living at the home included five elements of care and/or support to be provided or supported by the home. The persons care plan and daily notes reflected these outcomes. The care plan did not describe how staff should help a person when their mental health might inhibit their engagement with the elements of the plan designed to avoid social isolation. There was good information available for staff to describe risks associated with challenging behaviour and how this might be managed. One person told me that the staff encouraged them to try different things, but they didn’t always feel like doing them. There was evidence in the daily notes that the person had taken part in a limited number of activities with staff Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 9 outside the home, and they had also had opportunities to meet with friends and go out for walks. Most of their time, was though, spent in their room. There was also evidence of ‘1 to 1’ or ‘keywork’ sessions having taken place, particularly when the person initially came to live at the home. It was not always clear what the outcomes or purpose of these meetings were. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect to be given choices about how they spend their time. EVIDENCE: A key part of the plan of care for one person was to develop social skills and opportunities to participate in social activities. There was some evidence of an introduction to activities outside and inside the home and positive developments in respect of contact with family and friends. This included developing daily living skills, and encouragement from staff to improve levels of fitness. It was not clear that this had been sustained or that staff had the information or skills to intervene effectively when necessary. In the two-week period ending 14th January 2008, the daily notes state that apart from going to the shops once with staff the person mostly stayed in their room. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 11 No meals were observed during the time of the inspection. The inspector was told by one person that they chose what they wanted at mealtimes and occasionally helped to prepare something, but often they weren’t really hungry. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect their health needs to be dealt with promptly. EVIDENCE: People living at the home are able to manage their own personal care with prompts if necessary. There was evidence on records that people had been registered with a local GP and dentist to deal with primary healthcare needs. There was also evidence that specialist contact had been maintained to support people living in the home. There were a number of discrepancies in the records detailing the administration of medication. Two sheets were used, one for when medication was administered and a separate sheet showing when it was not and the reason for this. The dosage for one medication had been increased following a visit to the person’s consultant, this was noted in the daily log and the staff communication sheet, but there was no confirmation from the consultant or GP. When one person stays with friends they are given medication to cover the period, the records relating to this are contradictory in places. There were Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 13 also some records (relating to June 2007) where the person appears to have been given a different dose of medication to that prescribed, although recording for more recent periods was accurate. The detail of this was discussed with the manager during the inspection. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect their concerns to be taken seriously by staff. EVIDENCE: No complaints had been received by the Commission or the home since it was registered to provide care. People living at the home said staff listened to them and they would have no problems speaking to staff if they had a problem. There were gaps in checks made on staff before they started work, and information about how to contact CSCI was out of date. Not all staff had completed training in respect of how to protect vulnerable adults from abuse. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home have clean, comfortable rooms and shared facilities. EVIDENCE: The premises were registered with the Commission in September 2006. The condition of the home remained good. Most bedrooms had not yet been used. Each bedroom has en-suite facilities. The home was clean throughout. There were records in place to demonstrate that portable electrical equipment had been checked as had the fire alarm system and fire fighting equipment. The home had also carried out a number of fire drills. The home had been required by the environmental health officer to implement the ‘safe food – better business’ pack. The manager described the steps that had been taken to meet these requirements. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect to be supported by staff, but not be confident that staff will have sufficient skills and knowledge to meet all of their needs. EVIDENCE: The recruitment records for two members of staff were inspected. The records available were not complete. The manager said he was in the process of sorting out the paperwork. Application forms did not provide details of a full employment history and neither set of records held two references. Criminal record checks had been undertaken. There was no evidence of training to support staff working with people who have mental health needs. The manager had plans for training, but this had not been delivered at the time of the inspection. The service is relatively new and at the time of inspection had one person living at the home. Staff were described as approachable and supportive. It is also important that they have the skills and knowledge to deal with the range of needs likely to be presented by people living in the home. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 17 Staffing levels appeared to be appropriate for the circumstances at the time of the inspection and were increased where a risk assessment identified this was necessary. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that it is run in their best interests. EVIDENCE: The manager of the home was registered by the Commission when the service opened in 2006. They were able to demonstrate they had sufficient experience and knowledge to manage the service. An effective quality assurance and monitoring system has yet to be implemented. It is important that this is in place so that the service develops in line with the needs and wishes of people living there. It was evident from records that people living in the home were consulted on a daily basis about aspects of the home that affected their quality of life. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 19 The manager ensured the safety of people living in the home by carrying out regular checks of the fire safety and fire fighting equipment. Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 x LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 1 x 3 X 1 X X 3 x Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 21 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. 1 Standard YA5 YA22 Regulation 5,22 Requirement The home must ensure that accurate information is supplied about the contact details of the Commission. The home must ensure that accurate records are kept in respect of the administration of medication. The home must ensure that it carries out full checks on prospective employees before they start working at the home, and that full records are kept of those checks. The home must ensure that staff have the training necessary to carry out their roles. This relates specifically to the areas of mental health and the protection of vulnerable adults. The home must put in to place a quality assurance system that ensures the home is developed in a way that meets the needs of people living there. Timescale for action 30/04/08 2 YA20 13(2) 29/02/08 3 YA34 19, schedule 2 29/02/08 4 YA35 18 30/06/08 5 YA39 24 30/06/08 Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 22 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 Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 Longcroft DS0000066439.V358055.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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