Inspection on 07/12/05 for Longfield Manor

This inspection was carried out on 7th December 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

Longfield Manor 12/12/07

Longfield Manor 26/07/06

Longfield Manor 06/07/05

Longfield Manor 09/02/05

Longfield Manor 08/09/04

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 Manor West Street Billingshurst West Sussex RH14 9LX Lead Inspector Mrs S Gawley Unannounced Inspection 7th December 2005 09:30 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 Manor DS0000024173.V269723.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 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 Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longfield Manor Address West Street Billingshurst West Sussex RH14 9LX 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) 01403 786832 01403 782427 Dr Shafik Hussien Sachedina Mr Shiraz Boghani Mrs Jessica B Dabalus-Pinson Care Home 54 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (40) of places Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 40 persons in the OP category in need of nursing care may be accommodated. A maximum of 14 persons in the category DE/E (Dementia) to be accommodated. 6th July 2005 Date of last inspection Brief Description of the Service: Longfield Manor is a care home with nursing providing personal care and accommodation for up to forty older people and accommodation for fourteen service users with dementia. Forty eight service users are accommodated at this time. Dr. S. H. Sachedina and Mr. S Boghani privately own it. The home was opened in 1998 and is a two-storey building with wellmaintained grounds. The home has forty six single bedrooms and four-shared bedrooms all offering ensuite facilities. There is a passenger lift and comfortable sitting and dining areas, domestic in character. There is an attached day centre, which the service users can access. The home is located in Billingshurst close to shops and other local amenities. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 07/12/05. The home was inspected against the National Minimum Standards. Residents, staff and visitors were spoken to. The registered manager was available throughout and made any documentation required for inspection available. The comments made by visitors were positive of which there will be more detail in the report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 6 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 Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 7 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, 2, 3, 4, 5 Prospective residents have the information they need to make an informed choice about where to live. Each resident has a written contract/statement of terms and conditions with the home. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. Residents and their representatives know that the home they enter will meet their needs. Prospective resident service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Standard 6 is not applicable. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 8 EVIDENCE: A Statement of Purpose and Service User Guide is in place to give prospective residents and their relatives information on the home. Prospective residents are invited to see the home prior to admission. All prospective residents have pre-assessment prior to admission. This was evident in the care plans. Some pre-assessments are carried out on the day the prospective residents visit the home. The home does not usually take emergency admissions but the registered manager discussed putting in place a policy to ensure speedy assessment should admissions be made from long distances and preassessment is not possible. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 9 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 & 10 The residents health, personal and social cares needs are set out in an, individual plan of care. Residents make decisions about their lives with assistance as needed. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Are plans inspected showed all aspects of care being carried out and recorded. Policies and procedures are in place to ensure the safe storage, handling and disposal of medicines. Medicines are only administered registered nurses or, in the residential suite, staff who have had appropriate training. All medicines received, administered and disposed of are recorded. Controlled drugs are stored in an appropriate cupboard and a controlled drug register is maintained, although there are not any controlled drugs at this time. The staff liaise with the general practitioner on medication issues. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 10 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): 14 & 15 Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Residents spoken to stated that they have a certain amount of freedom to come and go as they please. Relatives spoken to stated that they are free to visit the home at any time and are made welcome. Residents are free to go out on outings with friends and relatives. Several residents were spoken to in the dining room and in their rooms. Two stated that they were not happy with the food but all others spoken to expressed satisfaction, but stated that tea is sometimes cold. Several residents stated that the chef tries to please them and that the food has improved since he arrived. One resident stated that she was 100 happy in the home. There were however some shortfalls noted in the kitchen. Some food was noted in the 1st fridge, not dated or labelled. The 2nd fridge door was very dirty. Freezer 1 was disorganised and an ice cream was stored with the lid off. The freezer itself was dirty, particularly the rim which also had a hair stuck to it. The bottom of the food trolley was dirty with old food residue. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 11 The floors were dirty with caked residue particularly around the doorsill and under the trolleys and kitchen equipment, also around the dishwasher. Fridge and freezer temperatures and the cleaning schedule were not up to date. The unacceptability of these findings was discussed with the new chef. They were also discussed with the registered manager. The last environmental health report was 17/11/04 when deep cleaning was required. The manager stated that this had occurred. The need for this practice to be ongoing alongside an effective daily/weekly cleaning schedule was discussed. It was noted that during the inspection the home was suffering a gas provision problem which was being adequately addressed and every effort was being made to ensure a supply of hot meals from a sister home. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 12 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 Residents and their relatives and friends are mostly confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: Residents spoken to stated that they felt that they could complain and that it would be acted upon. One stated that her complaints on food made little change, however this was not the experience of the majority. One resident and relative have made many complaints mainly regarding the food. The manager discussed strategies that have been put in place to overcome this difficulty. A second chef has been employed, food wastage is monitored and these issues are discussed at residents meetings thus evidencing that complaints are listened to and efforts made to address them. The homes policies and procedures and comments made by residents show it are the homes intention to protect residents from abuse. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 13 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): 22 & 26 These standards were fully inspected at the last inspection and the recommendation of that report has been met. Residents have the specialist equipment they require to maximise their independence. The home is clean, pleasant and hygienic. EVIDENCE: A visitor stated that a relative had been taken out that morning but they could not get very far as the tyres of the wheelchair were flat. This was discussed with the manager who stated that she would address this so that residents had the equipment necessary to promote independence and freedom. The home in general was neat clean and free from offensive odours, with the exception to the hygiene issues cited on page 13-14 of this report. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 14 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): 29 Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Staff files inspected had all of the necessary documentation to ensure that they can meet the assessed needs of residents and ensure their safety. Staff turnover at this time is quite high but the home does not employ agency staff. Two staff recently the subject of an adult protection investigation have left, disciplinary proceedings had been instigated and their names have been referred for consideration of inclusion on the Protection of Vulnerable Adults list. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 15 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): 34, 35 & 38 Residents are safeguarded by the accounting and financial procedures of the home. Residents’ financial interests are safeguarded. The health, safety and welfare of service users and staff are mostly promoted and protected. EVIDENCE: Resident’s financial interests are safeguarded by the policies and procedures in place. Any monies held are held securely and suitably documented. The manager handles a profit and loss account for the home annually and has quarterly account meetings with area management. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 16 The health, safety and welfare of service users and staff are ensured by the provision of training in moving and handling, fire safety, first aid and food hygiene. Discussion was had on the measures the manager will put in place to address the shortfalls in kitchen hygiene. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 17 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X 2 X X X 2 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X X 2 Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 18 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 OP26OP15 Regulation 13(4)(c) 16(2) (j) Requirement The premises are kept clean, hygienic throughout and systems are in place to control the spread of infection, in accordance with relevant legislation and consultation with the environmental health authority. Timescale for action 31/01/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP22 Good Practice Recommendations Disability equipment provided to be maintained to meet the needs of service users. Longfield Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Manor DS0000024173.V269723.R01.S.doc Version 5.0 Page 20 - 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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