Inspection on 14/08/07 for Longlands

This inspection was carried out on 14th August 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

Longlands 24/08/06

Longlands 28/10/05

Longlands 16/05/05

Longlands 25/11/04

Longlands 01/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Longlands Balfour Road Blackbird Leys Oxford Oxfordshire OX4 6AJ Lead Inspector Kate Harrison Unannounced Inspection 14th August 2007 9:45am 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 Longlands DS0000013158.V342649.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. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longlands Address Balfour Road Blackbird Leys Oxford Oxfordshire OX4 6AJ 01865 779224 01865 774769 manager.longlands@osjctoxon.co.uk www.osjct.co.uk The Orders Of St John Care Trust 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) Mrs Valerie Jarvis Care Home 47 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (47), of places Physical disability over 65 years of age (20) Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 47. 24th August 2006 Date of last inspection Brief Description of the Service: Longlands is a care home providing personal care and accommodation for 47 older people. It is located on the outskirts of the city of Oxford in the centre of a housing estate and close to many amenities; the care home is provided by The Orders of St John Care Trust. The home is a two-storey building with a lift, providing single rooms and shared bathroom facilities. There is a large dining room with a bar and seating area at one end, and four other sitting rooms. There is a pleasant courtyard garden that is safe and accessible to residents. The current range of fees is from £484 to £600 per week. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 09.45 hours and was in the service for 5.5 hours. This inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service, and any information that the Commission has received about the home since the last inspection. The inspector saw most areas of the home, observed staff interactions with the individuals living at the home, spoke to staff members and looked at records and documents relating to the care of the individuals. Staff recruitment records were also seen. The registered manager was not available, and the deputy manager was available to help the inspector understand how the home worked on a daily basis. The inspector asked the views of the people who use the services and of relatives and healthcare professionals connected with the home, but no replies were received. The inspector spoke to several people living at the home during the day, and their views are reflected in this report. Most of the comments about the care at the home were positive, especially comments about the staff. From the evidence seen during the inspection visit, this service would be able to meet the diverse needs of individuals from different cultural, religious and ethnic backgrounds, and of different physical ability. What the service does well: The home encourages people to remain independent and to enjoy their time in the home as much as possible. Staff members treat the people living at the home as individuals, and several individuals said that the staff members are interested in them and their families. Opportunities are provided for individuals through the ‘Wishing Tree’ to discuss long-term goals, and the home helps individuals realize their goals, and this is a very valuable service. Several individuals said that they enjoyed the range of activities provided by the home’s activity coordinator. Some staff members have been at the home for several years and people living at the home value the continuity this brings. The personal, health and welfare needs of people living at the home are met, and people know how to make their concerns known to the home’s management. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 6 The home is well maintained and a continuing programme of refurbishment and improvement is in place. Safety is seen as very important and measures are in place to keep the home safe from the risk of fire and other hazards. Staff members are encouraged to use the training programme provided, so that they can improve their skills and knowledge. Several individuals said that they can rely on the home’s management to look after them well, and one individual said, when speaking about the home, that she/he thought it was ‘too good to be true’. 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. The summary of this inspection report can be made available in other formats on request. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 7 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 Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. The home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To make sure that the home can met the needs of people admitted to the home, a senior person carries out a preadmission assessment of the health and welfare needs before admission, or readmission. EVIDENCE: Individuals and their families are welcome to visit the home before admission. A senior person from the home usually carries out the pre-admission assessments, to make sure that the home can meet the needs of the individuals wishing to come to the home. The pre-admission assessments seen contained all the necessary information to make a decision about admitting the individual. One individual was in the home for respite care, and all the information necessary was available before admission. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and social care needs of people living at the home are documented and met, in a way that shows respect for their wishes. EVIDENCE: The home has decided to implement a new system of managing care needs and is in the process of starting the implementation of the new system. The new system will allow the care planning to be more person centred than under the old system. All the people living at the home will have a better nutritional risk assessments and pressure risk assessments as part of their care at the home, and will have more opportunities to make their preferences and wishes known. The inspector saw care plans for three people living at the home, and saw evidence that all the health and welfare needs of the individuals were recognised and met. Individuals have some input into the care planning process, and a relative had signed agreement to one care plan, as the individual did not have the capacity to do so. A healthcare professional was visiting, and said that the home could be relied on to communicate effectively with the healthcare service, and that staff members are always happy to help Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 10 so that the individual is treated in private. Staff helped individuals to keep medical appointments on the day of the inspection visit, by organising transport and by escorting to appointments. Staff members were observed to be respectful to clients, listening to and addressing their queries during the day. The inspector spoke to several individuals, and asked their views about life in the home. Most comments were positive about the care at the home, and one individual said that she/he ‘couldn’t wish for better’. The home has recently changed the medication provider and reports an improvement in managing the medication as a result. The medication records were properly completed, including the records for applying lotions and creams. All the care leaders have training in how to manage medication and have regular update training to prevent errors and risks to people living at the home. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to be as independent as possible, and they are able to make their views known about life at the home. EVIDENCE: People living at the home are encouraged to be as independent as possible and to maintain and develop family and personal relationships. A public phone is available for people to use, and private and mobile phones can be used in the home. Several individuals go out during the day to pursue their own interests. The home places an emphasis on encouraging individuals to think about what they would like to achieve, and has had success in supporting several individuals to achieve their wishes. Some individuals found the residents’ meetings useful, and would like the meetings to recommence and happen regularly, as the last one was arranged in May 2007. The manager should consider how best to organise the residents’ meetings, to better meet the wishes of the individuals living at the home. The activities coordinator, who usually works 20 hours per week, has a programme of events drawn up through discussion with the people living at the home, and through a mixture of group and individual activities tries to meet the needs of the individuals. Several individuals told the inspector how they enjoyed the sessions with the activities coordinator, and missed the Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 12 activities when she was not in the home. The manager should consider designating a named carer to be responsible for organising activities when the activities coordinator is not at the home. Several individuals told the inspector how much they enjoyed breakfast and lunch, as they considered these meals to be fresh and appetising. Others said that, although the food was generally good, the evening meal was often less appetising, and the manager should investigate ways of improving the evening meal so that the expectations of people living at the home are met. Suggestions and feedback are encouraged so that the home can better reflect the wishes of the people living there. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are protected from harm by the home’s procedures, and they know that any concerns will be heard and acted on. EVIDENCE: The home has a complaints procedure and several people told the inspector that they knew how to make a complaint. The complaints procedure is displayed in the home, and no complaints have been recorded at the home since the last inspection. The Commission has received no information about a complaint since the last inspection, but one complaint has been recently received at the organisation’s head office and is being looked into. The home has a procedure to address concerns about safeguarding vulnerable people, and all staff members attend training on the subject during the induction period. Refresher training for staff is arranged regularly. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, pleasant and well maintained. EVIDENCE: The organisation has a maintenance and development plan for the home, and systems are in place to address maintenance issues. Recent improvements include refurbishments to the dining room, and kitchen, the fitting of new windows and showers and ongoing redecoration of the bedrooms. People living at the home are able to contribute to the developments in the garden, and the gardens are an asset to the home. The laundry is well managed, and recent improvements include better ways of managing the laundry detergents. The home is kept clean and hygienic by the housekeeping and laundry staff, and infection control training is provided so that they can play their part in keeping the home hygienic. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have confidence in the well-trained staff team. EVIDENCE: The home has a staff rota to make sure that enough staff members are available to meet the needs of people living at the home. Individuals told the inspector that there were usually enough staff available to meet their needs, and that staff members were ‘generally good’, ‘very kind and caring’, and one individual said that he/she ‘couldn’t wish for better’ staff members. The induction of new staff members is carried out carefully, and the induction process is a mixture of in-house and external training, to the required standard. More than 50 of the care staff team holds NVQ Level 2 in Care, and six more are in the process of gaining qualifications. All the care leaders at the home have completed NVQ Level 3 in Care, and this means that the people living at the home can expect to be cared for in a professional way. Training is encouraged at the home, and all staff members have attended a training session on dementia awareness. Training records are kept on a central system, so that it is easy to understand who needs update training. The inspector checked three staff files to see how the recruitment process is managed. There was information missing from one file, but this was quickly located. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 16 Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The best interests of people living at the home are safeguarded by the experienced management and by the policies and practice of the home. EVIDENCE: The manager of the home is skilled, knowledgeable and experienced, and holds the NVQ Level 4 in Care and the Registered Manager’s Award. On the day of the inspection visit the manager was away from the home, and the Head of Care managed the home in her absence. Some petty cash is managed for people living at the home, and this is kept securely and records are kept. The home conducts quality assurance checks regularly within the home, and recently carried out the annual quality audit of the service. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 18 The home has a health and safety policy statement, and provides training for staff members so that risks to their safety are minimized. The home has a fire risk assessment in place, and all the care leaders including night staff, are fire marshals. Fire safety training, including evacuation procedures, is provided. The home has systems in place to make sure that the home’s utilities and appliances are serviced regularly. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 19 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 X X X 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 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 3 Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 20 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. 1 2 3 Refer to Standard OP12 OP12 OP15 Good Practice Recommendations The manager should consider how best to organise the residents’ meetings, to better meet the wishes of the individuals living at the home. The manager should consider designating a named carer to be responsible for organising activities when the activities coordinator is not at the home. The views of people living at the home should be sought about how to improve the evening meal. Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Longlands DS0000013158.V342649.R01.S.doc Version 5.2 Page 22 - 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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