Inspection on 24/02/06 for Longcroft Cottage

This inspection was carried out on 24th February 2006.

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

Longcroft Cottage 04/09/07

Longcroft Cottage 05/12/06

Longcroft Cottage 29/10/05

Longcroft Cottage 02/11/04

Longcroft Cottage 14/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Longcroft Cottage Blaisdon Road Westbury-on-severn Glos GL14 1LS Lead Inspector Mr Simon Massey Unannounced Inspection 24th February 2006 10:00 Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 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 Cottage DS0000016495.V284800.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 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 Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Longcroft Cottage Address Blaisdon Road Westbury-on-severn Glos GL14 1LS 01452 760747 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) Mr James Garside Mrs Lynn Garside Care Home 3 Category(ies) of Learning disability (3), Sensory impairment (1) registration, with number of places Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Temporary Service User Category - SI for one named Service User This service user category will be removed from the Certificate of Registration when the named service user no longer resides at the home. Date of last inspection 29th October 2005 Brief Description of the Service: Longcroft Cottage is a registered care home for three adults who have a learning disability. The home is an adapted detached house. The accommodation is on two floors. On the ground floor there is a kitchen dining area and lounge. on the first floor there are three single bedrooms and bathroom/toilet. The home is set in extensive grounds, which are level and accessible. The home is owned by Mr and Mrs Garside Mrs L. Garside, one of the joint proprietors, is the registered manager of the home. Longcroft Cottage DS0000016495.V284800.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 over three hours on 24th February 2006. The inspector met with the Home’s manager and the Registered Manager. Three other staff were on duty providing support for the three service users, who were in the home for part of the inspection. Records were examined relating to care planning, staffing and health and safety. A tour of the environment was also carried out. This inspection focused on the core standards that were not inspected at the previous inspection in October 2005. The inspector is grateful to the staff for their help and cooperation with the visit. What the service does well: What has improved since the last inspection? What they could do better: Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 6 No areas were identified during this visit. 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. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 7 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 Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not Inspected. There have been no admissions to the home for several years. The present group of three service users have lived at the home for over 10 years. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected during this visit. EVIDENCE: Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected during this visit. EVIDENCE: Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Guidance in care plans, good staffing levels and the involvement of health professionals help ensure that the physical and emotional needs of the service users are met. EVIDENCE: The personal files seen contain details of the personal care that is to be provided and guidance for staff. There was evidence in the files of regular input form the local Community Learning Disabilities, including Speech Therapy, Occupational therapy and Psychiatry. Files contain records of visits to Dentists, Dr’s, Opticians and Podiatry. There was evidence of health issues being monitored and followed up with hospital appointments and meetings with consultants. One service user has epilepsy and the home has liaised with the specialist nurse in relation to this. The home are also in the process of changing to using a different PRN medication, which will promote greater dignity for the service user. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Service users are reliant on the observation and communication skills of the staff to identify any concerns they have relating to their care and wellbeing. Staff training and the home’s policies and procedures provide protection for the service users. EVIDENCE: The home has a complaints procedure and whistle blowing policy in place and staff have signed to say they have read these policies. All staff have undertaken training in Adult Protection and the home has a statement in its policies that restraint is not practised in the home. It would be difficult due to the level of disability for service users to make complaints or express concerns. The manager explained that the staff would observe changes in mood or behaviour that could be indicative of some form of concern. Service users are further protected by the regular contact they have with outside professionals, as evidenced under the Personal and HealthCare Support standards. Also, staffing levels, including two staff sleeping in every night, provide further assurance that reasonable measures are in place to ensure service users are protected by their needs being easily identified by the staff. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28 & 30 The home provides a homely and comfortable environment that is well maintained, clean and hygienic. EVIDENCE: The home appeared homely, warm and comfortable at the time of the inspection. The kitchen is currently being extended and it is hoped this work will be completed later this year. Some decoration has been undertaken and a new carpet fitted through the downstairs communal area. The manager explained that the decoration would be completed when the kitchen work was finished. The house is situated on a farm, which is owned by the registered manager, and is relatively isolated. However, this also means that the home is in a peaceful location and is a safe and secure environment for the service users. The bedrooms were comfortable and reasonably well decorated and reflected the personal needs and tastes of the service users. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 & 36 Staffing levels ensure individual needs can be met. Staff are supported and required to undertake professional training. Service users are protected by the homes recruitment policy. EVIDENCE: The home provides one to one staffing for the service users, meaning that there is a minimum of three on duty. At night two staff sleep-in order so that the needs of the service users can be met. The level of cover appears appropriate to the needs of the home. All staff are required to undertake NVQ training as part of their job descriptions and this process is helped by the Registered Manger being an NVQ assessor. The homes manager also has an NVQ training award, which enables some training to be provided in house, or cascaded down. The home has achieved an “Investors in People Award” and was awaiting accreditation at the time of this visit. The manager explained that training, staff support, recruitment and induction had been the main focus of the assessment that had been carried out to achieve this award. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 15 The home is currently considering working towards another award called “Work Life Balance”. This would focus on the homes ability to look after the welfare of the staff team. All staff receive annual appraisals and a sample of these were seen by the inspector. Staff receive an appraisal every three months during their first years employment. The home have resisted recommendations from previous inspections to provide formal supervision sessions for staff. The manager explained that the close working relationship of the managers and the rest of the staff ensured that any issues can be identified and discussed on an ongoing basis. The appraisals conducted by the home do monitor professional development and it is evident that staff would feel able to approach management for a meeting if they wished. However, formal structured supervision is considered to be best practice within a care setting and is a good process to have built into a home. It can provide robustness to the management procedures, formal positive feedback for staff and accountability for staff performance. Whilst accepting the managers reasoning at this stage, the inspector recommends that this issue is kept under review and consideration given to what benefits formal supervision could bring to the staff team. Staff have completed training in managing challenging behaviour, which included an assessment of their competence and understanding. Restraint is not used in the home and the training focuses on de-escalation and management of behaviours. A sample of staff files were examined and these contained all the required information and details, including CRB checks, employment histories and references. Files also contained training information and certificates, and in the three files seen all statutory training was up to date. Staff are required to sign to say they have read polices and procedures and also a statement confirming they are aware of the homes confidentiality policy. This is good practice. The files also contain the completed induction programmes and job descriptions. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 & 42 Qualified and experienced managers help ensure the home is efficiently and professionally managed. Management commitment to staff training helps maintain the standard of care provided. Regular maintenance ensures that a safe environment is provided for the service users. EVIDENCE: The registered manager and homes manager share the responsibility of the day-to-day running of the home. Both have completed NVQ 4 in Care and the Registered Managers Award. All files seen were well ordered and up to date and the administration and running of the home appears to be efficient and effective. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 17 The home has previously conducted a “stake holder” survey and the home’s manager said that they would be undertaking another such exercise within the next few months. This will collect views and feedback from a range of professional and families involved with the home. This is good practice and will also help towards the meeting of the Protection standards. The home has a newly nominated staff member who will be the home’s fire officer. New formats for recording tests and checks were being produced. All servicing had been completed and recorded. The home has purchased the equipment required to begin doing its own PAT testing this year but the previous tests were still valid at the time of this inspection. A sample of staff records showed that people were up to date with the required statutory training. All staff have updated their food and hygiene training. The manager has responsibility for monitoring health and safety in the home and they explained how they identify any hazards and organise repairs. Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 18 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 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X x 3 3 X X X 3 x Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 19 no Are there any outstanding requirements from the last inspection? 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. 1 Refer to Standard YA36 Good Practice Recommendations The home should keep its policy and practice on formaln staff supervision under review Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longcroft Cottage DS0000016495.V284800.R01.S.doc Version 5.1 Page 21 - 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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