Inspection on 17/07/06 for Longfield

This inspection was carried out on 17th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longfield 07/10/05

Longfield 24/05/05

Longfield 30/09/04

Longfield 06/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Longfield Killicks Road Cranleigh Surrey GU6 7BB Lead Inspector Lisa Johnson Unannounced Inspection 17th July 2006 09:00 X10015.doc Version 1.40 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 Longfield DS0000033052.V302784.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 Older People. 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. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longfield Address Killicks Road Cranleigh Surrey GU6 7BB 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) 01483 275505 01483 277753 lisa.soper@surreycc.gov.uk South West Surrey Adults & Community Care Services Mrs Lisa Sharon Soper Care Home 58 Category(ies) of Dementia - over 65 years of age (34), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (16), Sensory Impairment over 65 years of age (4) Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Accommodation and services may be provided to named persons aged 60 - 65 years with prior written agreement of the CSCI Gene Kelly, Fred Astaire and Gracie Fields units will be used exclusively for Residents who require dementia care. Respite care may be provided to six residents within Audie Murphy unit for a period of six weeks Charlie Chaplin unit will be exclusively for residents in the category OP Old Age not falling within any other category 7th October 2005 Date of last inspection Brief Description of the Service: Longfied is a large detached three-storey residential Care home. The home provides personal care and accommodation for fifty older people. The home is managed by Surrey county Council and is situated on a large housing estate adjacent to the village of cranleigh. All rooms are for single occupancy. The home has five separate units, which accommodates 40 residential places and 10 short stay intermediate care places. Each unit has its own sitting/dining room and kitchenette. The home grounds are of a good size, well maintained and have disabled access. There are parking facilities at the front of the building. Benefits and charging for the home are managed by Surrey County Council. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over eight hours and was carried out by one inspector, Mrs. L Johnson. Mrs.L. Soper the registered manager represented the establishment. A full tour of the premises was undertaken and care plans, staff files and policies and procedures were sampled. The inspectors spoke to seven residents and eight members of staff. Seven comment cards were received from seven residents to obtain their views on the care provided. The responses received are included in this report. The inspectors would like to thank the residents and staff for their hospitality and cooperation during this inspection. What the service does well: There was an open and friendly atmosphere in the home. All staff have received training in dementia awareness and have been involved in a dementia mapping programme with an external audit completed recording positive outcomes. Staff are supported to access a range of training and development. A majority of the comments received from residents confirmed that they feel well cared for and enjoy living in the home. One service user stated, “The staff are always willing to help and they are caring”. “One individual spoken to who receives short term support stated, “ I couldn’t have found anywhere better”. The home provides meals, which were of a good standard with variety and choice. Resident’s comments concluded that they were happy with the quality of the meals. One individual said, “The meals are very good” and another resident said, “We are able to choose our meals”. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: At the previous inspection a requirement was made that residents should be provided with an individual contract stating the terms and conditions of the home. This matter has not been resolved and a further requirement was made that this matter is completed. Three individual care plans were sampled which had not been signed by residents or their representative. A requirement was made that this is completed to ensure that residents are fully involved in the care planning process and that they agree to their individual plan. The present structure and layout of the service does not meet the national minimum standards. However the company is committed to review the development of the home. The inspector was provided with evidence that a project group is in place to look at all considered options. A requirement was made that two bedroom carpets should be replaced in two bedrooms in Gene Kelly unit. This is to ensure that residents have pleasant and comfortable bedrooms to live in. The homes fire records were sampled and it was confirmed that a recent fire drill had been completed. However records indicated that a drill had not taken Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 7 place more frequently. A requirement was made that accurate records are maintained of any fire drills undertaken and that the frequency is agreed with the fire officer. This is to ensure that the welfare, health and safety of residents is protected. 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. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that pre admission assessments are completed prior to any individual moving into the home. The home does not support individuals with intermediate care. EVIDENCE: The home provides a statement of purpose and service user guide, which details the aims and objectives and the services that the home is able to offer. One individual spoken to confirmed that he had received this information. Three residents files were sampled and pre admission assessments were completed which included information from health care professionals for example care managers. Opportunities are available for individuals to visit the service, which was confirmed by two residents. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Resident’s health and personal care needs are met. Residents have access to a range of specialist services. Further work is required in ensuring that all residents and/or their representatives sign individual plans where possible to ensure that they are fully involved in the care plan process. Residents are protected by the homes medication policy and procedures. Resident’s privacy and dignity is respected. EVIDENCE: Three care plans were sampled which were based on a full assessment including personal, health, social and emotional needs. There were further assessment sections for sleep, memory and orientation. Photographs were available with individual’s records and personal care records were in place. Records indicated that plans had been reviewed. Risk assessments for falls are completed on the outcome of mobility assessments. However residents or their representatives had not signed individual plans sampled and a requirement was made that this matter is completed. This is to ensure that residents are involved in the care plan process, consulted and agree to their plans. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 11 Residents are supported to access a range of health care specialists including a GP, district nurse, community psychiatric nurse and chiropodist. Some residents visit the GP independently. One person is having to access regular hospital appointments due to a health issue and being supported by her key worker, which was confirmed by the individual. The homes medication administration systems were examined and records were maintained adequately with all medication administered signed for. Photographs of individuals were available with their medication card. Medicines were stored appropriately and disposal records were maintained. A homely remedies list was completed. The home receives quarterly audits from the pharmacist. A list was maintained of staff that are able to administer medication. Staff were observed to be talking to residents with kindness and respect. One person spoke highly of her key worker who has been giving her support through her illness. Staff were observed to be shutting doors when assisting residents with personal care. Seven comment cards were received from residents confirm that their privacy is respected. Residents maintain links with family and friends and one individual stated, “ I am able to access a telephone if I wish to make calls. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that residents have access to a range of recreational and leisure activities and maintain links with their family/friends and the local community. Residents are supported to make choices and individual preferences are respected. Residents receive well-presented and balanced meals. EVIDENCE: Since the previous inspection the home has now recruited a new day activities coordinator. Activity programmes were displayed throughout the home. During the inspection some residents were participating in arts and crafts and a hairdresser was visiting the home. In the afternoon some residents were in the garden and enjoying card games. Bingo, reminiscence card activities, singalong and manicures are arranged. The inspector spoke to the new coordinator who has not been in post long but she has set up an activities folder and is currently conferring with residents with regard to their preferred preferences. Residents maintain links with family and friends who are able to visit without restrictions. One individual said, “I go out with my family”. Some residents Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 13 access the local community and one individual said” I go out to the market”. One resident spoken to accesses a day centre and some individuals visit the church and go to the Darby and Jone club. The home provides a varied menu and the lunchtime meal was of a good standard well balanced and nutritious. Residents were provided with a choice of meals with one individual commenting “We get two choices for our lunch time meals. In one unit residents were seen making choices about their preferred cereal for their breakfast. Residents spoke positively about the meals provided comments included “Good choice and the food is very good”. Six comment cards from residents confirmed that they were happy with the meals provided Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that there is complaints procedure in place and that the views of residents are listened to. Policies and procedures were in place that ensures that residents are protected from abuse. EVIDENCE: There was a complaints procedure in place, which was available in the service users guide. One complaint has been received by the home and there was evidence to suggest that complaints are followed up and responded to by the registered manager. One resident was asked if she was aware of who she could approach if she had any concerns and she responded “ The manager, the person who comes round”. Another individual was observed to seek out the managers office when she was requiring some support”. Positive comments were received from residents about the staff team including “They are very good” and the “staff are kind”. Six comment cards received from residents confirmed that they are treated well, feel safe and feel well cared for. The local authority multi- agency policy safeguarding policy was available plus a whistle blowing procedure and it was evident that staff have undertaken safeguarding adult training with the manager having completed the local multiagency safeguarding adult training. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 15 Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 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, 23 & 24 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further improvement is needed to ensure that the layout of the home meets the needs of residents and is suitable for its stated purpose. Improvement is required to ensure that residents have pleasant and comfortable rooms to live in. The home was clean and hygienic at the time of this visit EVIDENCE: The structure and layout of the home does not meet the national minimum standards. However the company is committed to looking at the future development of the home and the inspector was provided with written information confirming that the company is working with other stakeholders to look at the options for redevelopment. Since the previous inspection there has been a continuous programme of redecoration, maintenance and the living units in the home were observed to be brighter with some carpeting replaced in some areas. Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 17 Bedrooms are small in size and do not provide sufficient space, however attempts have been made to make them as homely as possible. Bedrooms were personalised with resident’s belongings. A requirement was made that two carpets require replacement and one was found to be very stained. This is to ensure that residents have pleasant and comfortable bedrooms to live in. The home was clean and hygienic. Separate laundry facilities were available. The laundry staff member spoken to during the inspection had a clear understanding of the practices to follow. Suitable hand washing facilities and materials were available throughout the home Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 n& 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels in the home are sufficient to meet the needs of residents and the staff were competent to do their jobs with fifty percent of staff holding National Vocational Qualifications. Residents are protected by the homes recruitment policies and procedures. EVIDENCE: The staff rota was sampled which concluded that staffing levels are satisfactory. As well as the manager the home employs two deputies and during the day there is nine staff on duty, eight in the afternoon and three waking night staff are provided at nighttime. The home also employs ancillary, catering and an administrator. Fifty percent of the staff have gained National Vocational qualifications (level 2) or above. Two deputies support the registered manager. One deputy holds the Registered Managers Award in addition to holding National Vocational Qualification (Level 4). The other deputy holds National Vocational Qualification (Level 4) and is also working towards to completing the Registered Managers Award. One deputy manager is also commencing a diploma in dementia studies. The home supports staff to receive and access a range of training and development. All care staff in the home have been involved in dementia mapping and have received training. Examples of other training received by Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 19 staff include mandatory training; visual impairment, managing violence and aggression, bereavement and loss and social care values and equality. Two members of staff spoken to by the inspector confirmed that they are supported to access training and development and told the inspector about some of the training they have received. Two staff recruitment files were sampled and found to obtain the required information including evidence of POVA first and Police checks Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is able to demonstrate that she has the appropriate qualifications and experience to manage the home is run in the best interests of residents. The home is able to demonstrate that the financial interests of residents are protected. One matter needs attention to ensure that the health, welfare and safety of residents is protected. EVIDENCE: The registered manager holds a diploma in social work, has obtained the Registered Managers Award and is commencing a master’s degree in dementia care. There was an open atmosphere in the home and one member of staff told the inspector, “There is good communication in the home with regular Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 21 team meetings taking place”. Two members of staff said they felt supported by the management arrangements. The home has implemented quality audit questionnaires for residents and staff, which are due to be updated in September 2006. A monthly quality visit is completed with a copy being provided to the Commission for Social Care Inspection and the home holds residents meetings. The home has completed dementia care mapping programme and a recent audit was carried out which recorded positive outcomes. There is a finance administrator employed by the home who maintains records of service finances systems and were examined which were adequately maintained. Accident records were sampled and were appropriately maintained. The registered manager has completed environmental risk assessments and water temperature checks were recorded. Cleaning materials were safely stored. The fire records were examined with evidence that regular checks and alarm tests are recorded. It was evident that a recent fire drill had been completed, however it was seen that this had been the first drill recorded for some time. The inspector was informed that another drill had taken place but this was not recorded. A requirement was made that when any fire drills take place that records are documented with the frequency of drills being agreed with the fire officer. This is to ensure that the health, welfare and safety of residents is protected. Information received from the service indicates that regular maintenance of equipment takes place. Longfield DS0000033052.V302784.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 2 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 17(2) Schedule 4 15(2)(a) 23(2)(d) 23(4) (e) Requirement All residents must be provided with an individual written contract (Previous requirement 07/12/05 not met) The registered person must ensure that residents sign to agree their care plans. The registered person must ensure that carpets are replaced in two bedrooms. An accurate record must be maintained of all fire drills carried out in the home and the frequency agreed with the fire officer Timescale for action 17/10/06 .2 3 5 OP7 OP23 17/08/06 17/09/06 17/09/06 OP38 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 Longfield DS0000033052.V302784.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Longfield DS0000033052.V302784.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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