Inspection on 29/10/05 for Longcroft Cottage

This inspection was carried out on 29th October 2005.

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 24/02/06

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 Tim Cotterell Unannounced Inspection 29th October 2005 09:30 Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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.V262619.R01.S.doc Version 5.0 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.V262619.R01.S.doc Version 5.0 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.V262619.R01.S.doc Version 5.0 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 2nd November 2004 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.V262619.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken during an afternoon/evening and was unannounced. The head off home was on duty with two other staff. One of the joint proprietors came to the home after the inspection had started. The inspection consisted of talking to staff and the three service users, (two of the three were able to have limited conversations), looking at the accommodation, and inspecting a number of records which included a plan of care. The home was found to be clean and organised and one member of staff was busy preparing the tea. Two service users returned to the home during the inspection with two staff. They had been to collect one of the service users from his parents home. The service users who were able to comment appeared comfortable and happy and it was clear that they had a good relationship with staff. The staff on duty were aware of the needs of the individual service users and were seen as attentive and sensitive to their needs. What the service does well: What has improved since the last inspection? Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 Page 6 The management of medicines has been reviewed and there is a new and secure cabinet and all staff have undertaken accredited medicines training. 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. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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.V262619.R01.S.doc Version 5.0 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 Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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): 6 A regular review of plans of care would ensure that the needs of service users are being addressed. EVIDENCE: Care plans are drawn from the annual review, which is undertaken by the sponsoring local authority. A number of plans seen had not been reviewed since October 2004, however staff informed the inspector that there had not been any significant changes. It is essential that all plans of care are reviewed at monthly intervals and that there is written evidence of that review. All of the service users were seen and spoken to during the inspection. The care plans seen were comprehensive and relevant to the needs of the individual service users and if updated regularly would provide excellent tools for staff to meet the needs and wishes of the service users. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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): 12 13 14 Service users individual needs are being met by a varied and interesting programme of activities. EVIDENCE: The “high” staff ratio enable staff to identify individual needs and wishes and wherever possible meet them. The inspector was able to identify from the records, what each service user enjoyed doing and to talk to staff about how the activity was undertaken. The home has a “people carrier” and this allows regular trips out in the local community. Staff provide support and encourage contact with relatives/friends and they provide transport to ensure the link is maintained. The home is situated in a rural area but contact is maintained with the local community. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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): 19 20 Service users physical and emotional needs are being met and suitable records maintained EVIDENCE: The last inspection report contained two requirements in respect of how medicines are stored and the issue of training for staff in the administration of medicines. Both requirements have been met. The home has purchased a new medicines cabinet. Staff have been trained through a distance learning programme in respect of the management and adminsiattion of medicines and at the end of the course their competency was tested. The home keeps a record of all healthcare appointments and treatments and it was evident that appropriate health care professionals are consulted e.g. Community Learning disability Team Community Nurse and Continence Adviser. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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): EVIDENCE: Not inspected Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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 30 The accommodation for the service users was comfortable and the furniture and decoration in good order. EVIDENCE: The inspector saw all of the accommodation accompanied by the head of home. Service users have their own bedrooms and they were appropriately furnished and in good decorative condition. It was evident that staff had taken time to personalise the bedrooms and they reflected the interests of the individual. The communal areas were warm, clean and comfortable. The entrance hall is being redecorated. The inspection was undertaken in the afternoon/evening however some of the outside areas were seen. The home has large gardens and the service users are encouraged and supported to take an interest in the gardening. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 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): 32 35 The service users are supported by a competent and sensitive staff group. EVIDENCE: The inspection started at 1630 and there was one member of staff in the home supervising one service user. Two other staff were on duty but they were out with two service users, they arrived back about 1700. The home has at least three members of staff on duty during the waking day and two “sleepers” at night. All of the staff on duty were seen and spoken to individually. Two members of staff had worked in the home for a number of years and the records indicated that they had or would be doing all required training. The training completed (or being undertaken) included the administration of medicines identification of abuse and restraint. All of the training is being provided by external private companies. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: Not inspected. Longcroft Cottage DS0000016495.V262619.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longcroft Cottage Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000016495.V262619.R01.S.doc Version 5.0 Page 17 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. 1 Standard 6 Regulation 15 Requirement Plans of care to be reviewed monthly Timescale for action 30/12/05 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 Cottage DS0000016495.V262619.R01.S.doc Version 5.0 Page 18 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.V262619.R01.S.doc Version 5.0 Page 19 - 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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