Inspection on 04/09/07 for Longcroft Cottage

This inspection was carried out on 4th September 2007.

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 05/12/06

Longcroft Cottage 24/02/06

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 Key Unannounced Inspection 4 & 11 September 2007 10:00 th th Longcroft Cottage DS0000016495.V334674.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 Cottage DS0000016495.V334674.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 Cottage DS0000016495.V334674.R01.S.doc Version 5.2 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 Mrs Lynn Garside Care Home 3 Category(ies) of Learning disability (3), Sensory impairment (1) registration, with number of places Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 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 5th December 2006 Brief Description of the Service: Longcroft Cottage is a registered care home for 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 a 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. The current fee range starts at £640 per week. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place over two days on the 4th and 11th September 2007. Records relating to care planning, staff training, recruitment, medication administration and health and safety were examined. Interviews were conducted with the Registered Manager and Deputy Manager. An inspection of the environment was also carried out. A second visit was undertaken when the Inspector met and spoke with staff and service users. A number of questionnaires were also distributed to staff, relatives and outside professionals. What the service does well: What has improved since the last inspection? What they could do better: No specific areas requiring improvement were identified during this inspection and the home had taken action to meet previous requirements and recommendations. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 6 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 Cottage DS0000016495.V334674.R01.S.doc Version 5.2 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.V334674.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure ensures that people’s needs and aspirations are assessed prior to prospective residents moving into the home. EVIDENCE: The home has produced an updated Statement of Purpose and Service User Guide. These documents are detailed and contain the required information. The home currently has one vacancy and the Inspector examined the process that had been followed by the home in relation to one prospective admission. Introductory visits had been organised and information had been collated in relation to needs, and the home had planned thoroughly for the admission. The home had completed a thorough assessment process and planned how they would meet the needs of the service user. A detailed description of the admission process is in the Statement of Purpose. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new care planning system provides a more person centred approach that fully involves service users and their key-workers. Detailed care plans ensure that the service user’s needs are documented and guidance is available to staff. The home takes action to encourage service users to make choices and supports them to take appropriate risks. EVIDENCE: Service users have care plans in place that are being regularly reviewed and updated when necessary. The plans cover a wide range of needs and provide guidance for staff on how these should be met. Staff interviewed demonstrated a good understanding of the needs of service users and how they were to be supported. The home has changed to a new system of care planning that is aimed at being more person centred and produces clearer goals and objectives. The deputy manager explained how they have developed a better understanding of one persons needs in respect of their autistic behaviour. Records showed that there has been a decrease in agitated behaviours and Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 10 more settled sleep patterns. There is improved guidance for staff about encouraging service users to do certain tasks around the home with support, and there was evidence of good regular recording being completed. Staff had recorded any changed responses from service users to undertaking new routines. The service users have limited communication skills but the staff make efforts to promote choice around daily living and encourage people to have an involvement in their domestic routines. A sample of risk assessments were seen and these were up to date and correctly reviewed. Assessments provide clear guidance for staff and are used in a positive approach to increasing choices and options for service users. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Service users are supported to pursue their interests and hobbies, and are able to access the local community with support. Support from the home enables service users to maintain contact with their families and benefit from the positive relations that have been developed between relatives and the home. EVIDENCE: The home has established day-care routines for the service users that are based around activities they have an interest in. Service users are encouraged to make choices about their activities, which include domestic tasks as well as hobbies within the home and trips out into the community. On the first day of the inspection one person was supported to travel by public transport into town and in the evening both people were taken to attend a social club. Information is provided in the personal files about interests that people can be supported to enjoy. Staff explained how they try and offer at least one choice of activity every evening, but were also aware that sometimes one of the Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 12 service user likes to spend time alone, either in their room or outside in the garden. Following advice from the Community Learning Disabilities Team the home have tried to provided one service user with increased activities that have a “sensory aspect” to them. Staff explained how they met people’s personal care needs and how service users are encouraged to make choices about their bedtimes and evening routines. One staff member said that the communication training had enabled them to improve the service user’s understanding of certain situations and activities. The home ensures that service users maintain regular contact with their families and that information is shared when appropriate. Records of contact are made in the daily recording for each service user. Feedback received from families was very positive about communication with the home. The home has supported and organised two holidays for the service users in the past year. It was clear that people had enjoyed these trips. There were also records of numerous other excursions that had taken place and it was evident that people have been supported to enjoy regular trips out into the local community and to places further afield. The kitchen was stocked with fresh and packaged food and a varied and healthy menu is provided. Input and advice has been provided by a dietician over one person’s weight loss, and there was evidence that this is being managed and monitored professionally by the staff. Interviews with staff confirmed that regular snacks and drinks are always available and that people are encouraged to make choices over their food. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. People’s personal care and healthcare needs are met, promoting their dignity and wellbeing. Satisfactory arrangements are in place for the handling and storing of medication, promoting service user’s wellbeing. EVIDENCE: Clear records are kept of health appointments and service users have received various medical checks over the past 12 months. Outside professionals confirmed that the home liaises well and monitors health needs to a good standard. The medication systems for storage and administration were inspected and found to be in order. The medication is securely stored and clear records are kept. All staff who administer medication have completed training. All prescribed medications had been reviewed and appropriate notes recorded. All requirements made in relation to medication from the previous inspection had been met. The home has organised updated assessments from a Speech Therapist and have followed up the guidance and advice that was supplied. There was evidence that the home works in co-operation with outside professionals, Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 14 seeking appropriate advice and guidance, and updating care plans were necessary. Recent input has also been provided by Occupational Therapy and Physiotherapy. This has been sought to help staff support service users to maintain their movement and manual dexterity. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 15 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): Standards 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory arrangements and procedures in place for the protection of service users. EVIDENCE: All staff, and the managers, have undertaken further training in Adult Protection and people spoken to were very positive about the content and relevance of this training. The home has a policy of not using restraint and all staff confirmed that restraint is not used within the home. Staff explained how their knowledge of the service users means they can anticipate certain situations and react in a positive manner to diffuse a potential issue or divert someone’s attention with an alternative activity. Service users were observed interacting confidently and positively with staff, and appeared comfortable and relaxed in their home. The home has received no complaints since the previous inspection Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 16 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. Service users benefit from a home that is well maintained and decorated throughout and provides a comfortable and homely environment. Service users are supported and encouraged to personalise their living space and are involved in decisions relating to the redecoration of the home. EVIDENCE: Various improvements have been made to the environment of the home. Several areas have been decorated, including the outside of the house, and a new bathroom has been fitted. New furniture has been purchased for the living room, which is a large comfortable area. The work on the kitchen and utility areas, which are being renovated by the Provider, is nearly completed and a new handrail has been fitted on the staircase. The outside of the property has also been worked on and the garden looked very tidy and inviting. This provides a large secure and private area for service users to enjoy. The home was clean and hygienic throughout and provides comfortable and homely accommodation for the service users. People’s bedrooms are personalised according to personal preference. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 17 The office has been moved to an upstairs room and completely reorganised and tidied, which makes it a more professional space for staff to use when they require. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 18 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): Standards 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a staff team that relates well to them and has a positive approach to their care and support EVIDENCE: The home has had no new staff since the previous inspection. All staffing records contain the required information. All staff have undertaken various training including Health and Safety, Medication Administration, Adult Protection and fire safety. The home maintains a training matrix which monitors when updates are due. Both the Manager and Deputy are qualified and the other full-time staff member is undertaking NVQ training. There was evidence from recording, and from interviewing staff that people work together as a team with good communication and support in place. The home has maintained the correct staffing levels to meet the current service user’s needs. As well as the good level of informal support in place, staff also receive recorded formal supervision sessions from the Manager. Staff interviewed stated they felt well supported in their roles and able to approach either the Deputy or Manager about any issues or concerns that they might have. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 19 The home have improved and increased their understanding and use of Total Communication techniques and tools. There were examples of picture symbols and photos being used to improve the service user’s understanding of daily routines and staffing arrangements and also to encourage and support choice over various activities that can be undertaken. Staff spoken with were able to demonstrate a good understanding of people’s needs and the approaches they should take when supporting service users. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a home that is well managed and organised and committed to providing good quality care and support. Systems are in place that help to monitor and improve the quality of the service and there are a range of measures in operation that help to protect service user’s health and safety. EVIDENCE: The day to day running of the home is divided between the Registered Manager/Provider and the Deputy Manager. Both the Manager and the Deputy have completed the Registered Managers Award and have both also done additional training in recent months, including Adult Protection, Medication Administration and Health and safety. Both undertake care shifts in the house, as well as undertaking the administration and supervision tasks that must be completed. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 21 All staff were positive about the support and guidance they receive from the management. The home maintains a good standard of health and safety with all regular tests and checks being completed and recorded. The home has a fire risk assessment in place, which has been completed with input and advice from the fire department. All fire tests had been recorded and all equipment correctly serviced. All staff were up to date with the required statutory training. The home regularly conducts a Quality Assurance process, which involves collating information and views about the service from various sources. This was most recently completed in December 2006. Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 22 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 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Longcroft Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Cottage DS0000016495.V334674.R01.S.doc Version 5.2 Page 25 - 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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