Inspection on 28/10/05 for Longlands

This inspection was carried out on 28th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Longlands 14/08/07

Longlands 24/08/06

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 Jane Handscombe Unannounced Inspection 28th October 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 Longlands DS0000013158.V262181.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. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longlands Address Balfour Road Blackbird Leys Oxford Oxfordshire OX4 6AJ 01865 779224 01865 774769 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) The Orders Of St John Care Trust Mrs Valerie Jarvis Care Home 47 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Dementia - over 65 years of of places age (20), Learning disability over 65 years of age (3), Old age, not falling within any other category (47), Physical disability over 65 years of age (20) Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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. 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. A pleasant courtyard is safe and accessible for service users. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, lasting 8 hours, which took place on the 28th October 2005. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views upon the care and the services they receive at the home, the staff members and the manager of the home, viewing care plans and assessments, whilst observing the general day to day operations of the home. The home presented as one, which was of a homely atmosphere and generally clean and tidy throughout. Residents were going about their daily activities in a calm, relaxed manner. Staff were seen to provide care and support in an unhurried manner whilst respecting the residents’ dignity and respect at all times. Comments received from residents during the inspection included: ‘They have some lovely carers’ ‘If I have a problem I will discuss it with the manager’ ‘They are very good to me’ ‘We have choice’ ‘My sister visits and they are made to feel welcome’ ‘It was a good meal’ The inspector would like to thank the residents, their families and staff members for their assistance during this inspection. What the service does well: The home is maintained to a good standard and provides a warm homely atmosphere. Staff were observed to work well as a team, and were seen to be respectful and interacting with the residents in a manner that was thoughtful and considerate of their needs. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 6 Meals provided at the home are varied, well-balanced, offered choice and are well presented. All residents spoken to were complimentary of the meals provided at the home. Regular meetings are held for residents in which they are able to openly discuss any concerns or compliments that they may have regarding the care and facilities provided at the home. These meetings are also a way in which the residents are able to keep updated on any issues regarding the home, and to put forward any thoughts and ideas that may have. 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. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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 Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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 and 5 All prospective service users undergo an assessment of needs, before they are admitted to the home, to ensure that both parties are confident that their needs may be met. Prospective service users are provided with the information they need to make an informed choice about where they live. EVIDENCE: All prospective service users are provided with a service users guide, which includes information about the facilities offered at the home and includes details about the qualifications and experience of the manager and staff. The manager informed the inspector that either she, or the head of care, either visit prospective service users in their own home, or invite them to the home for an initial assessment of needs before a place is offered. Both the head of care and manager are qualified to undertake assessments. Prospective service users are encouraged to visit the home for their assessment in order that they can gain a ‘feel’ of the home, meet fellow Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 10 residents, view the facilities available and meet members of staff who will be delivering the care. Those who undergo an assessment of needs in their own home are invited to visit the home in order to allow them to make an informed choice when deciding upon whether the home meets their expectations and needs. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 11 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, 9, 10 and 11 All service users have a plan of care which is drawn up from an initial assessment, although of those viewed, they were found to be incomplete and lacking important information which could lead to missing a vital part of an individual’s care. Residents who wish to have responsibility for their medication are enabled to do so within a risk management assessment. EVIDENCE: The inspector was informed that no resident moves into the home before an initial assessment of needs is undertaken. A detailed care plan is then drawn up from an assessment of needs, to inform staff of those needs and how to address them appropriately. However on inspecting a file from a randomly selected number of files, it was apparent that one resident’s assessment of needs had in fact been undertaken for a previous stay in the home in June, and appeared to have not been reviewed and updated to reflect the changing needs. The resident needs the aid of a bath hoist, although the care plan and risk assessments failed to highlight the change. In discussion with the manager, the inspector recommended that when a resident is admitted to the Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 12 home for frequent periods of respite care, the manager should ensure to have evidence that a consultation has taken place with the service user or their representative, and note on the care plan that the needs remain the same or update where necessary. Of the further residents’ files viewed during the inspection there were some inconsistencies found with regard to the recording of weight, social activities undertaken and signatures to evidence that residents had been consulted with around their care plans. The inspector accompanied a staff member of the medications round and found the home to have a clear and effective set of procedures for the receipt, storage, handling, administration and disposal of medicines. One medication administration record failed to contain the resident’s photograph, however this was addressed immediately. Residents are able to take responsibility for their own medication, if they so wish, within a risk management process. The home adopts an overall approach ensuring that its residents experience a sense of privacy and dignity at all times - this was verified by residents and staff members spoken to during the inspection. Particular sensitivity was observed when staff members entered residents’ bedrooms and communal bathing facilities. The manager confirmed that the home ensures to give special care and comfort to residents who are dying, and their deaths are handled with dignity and propriety, whilst their spiritual needs and associated rites are observed. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 13 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 and 15 The home makes every effort to provide a varied programme of daily activities to suit the varying levels of need; likewise a daily choice of meals is offered and special diets are catered for. Residents are encouraged to maintain contact with family, friends and the local community as they wish, with support given where required. EVIDENCE: The home provides a daily schedule of activities, which include both group activities and one to one sessions. Activities offered include music and movement, film shows, massage, art and craft, quizzes and a knitting circle. A visiting hairdresser and chiropodist visit the home for those who require their services, as does a minister who provides communion for those who wish to partake. The home welcomes all visitors, and residents informed the inspector that they were welcome to visit at any time. Resident meetings are held regularly, which keep the residents informed and involved in any issues regarding the home and allow the residents to voice any concerns and likewise, compliments they may have. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 14 Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 15 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): 6, 17 and 18 There is a complaints procedure and policy in place, which all residents are aware of and would use if the need arose. EVIDENCE: There is a complaints procedure should any residents have any concerns. Residents spoken to during the inspection confirmed that they would take any concerns to the manager if they had the need, and felt that their concerns would be listened to and acted upon appropriately. Residents’ meetings are also a means in which any concerns may be voiced. The inspector noted that complaints were logged and dealt with in an appropriate manner. The home has procedures in circumstances where there are any suspicions concerning possible abuse. Staff are all aware of the procedures, have attended training on the protection of vulnerable adults and are clear on the procedures to follow. The home facilitates access to an independent advocacy service, provided by Age Concern Oxford, and takes steps to ensure that residents are enabled to take part in the local and national elections if they require. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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, 21,, 23, 24 and 26 The home provides comfortable surroundings, which are equipped to meet the residents’ needs. During the inspection, the home generally presented as clean and tidy although staff should ensure that toileting facilities are checked regularly for cleanliness which was lacking during the inspection, and that wheelchairs are stored appropriately. EVIDENCE: The home provides accommodation for each resident which is furnished and equipped to ensure them the right to comfort and privacy. Residents are encouraged to personalise their own bedrooms, and bring small items of furniture and memorabilia upon admission to the home if they so choose. All residents’ rooms viewed, during the inspection, were seen to be clean, comfortable and safe, many of which had been personalised with memorabilia and personal effects. However one bedroom did present as odorous; upon Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 17 discussion with the manager it was acknowledged that it was being addressed and the carpet was awaiting replacement. The home was generally well maintained and clean with a homely atmosphere, although it was found that the cleaning standards in a couple of the toileting facilities were of poor standard. Likewise wheelchairs were found to be stored in one of these. The home has sufficient toilet, washing and bathing facilities, most of which were accessible and clearly marked. However, the inspector noted wheelchairs being stored in one of the residents’ communal toilets. A requirement has been made within this report to ensure wheelchairs are stored appropriately to allow residents easy access all parts of the home without obtrusion, thereby ensuring their health, safety and welfare. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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 and 30 Longlands House is a well managed home, run in the best interests of the residents, using the service. Safeguards are in place to protect their health, safety and welfare. Safeguards are in place to protect their health, safety and welfare although the storage of wheelchairs and cleaning materials found during the inspection could compromise this. The home has stringent policies and procedures in recruiting staff to ensure the health and safety of its residents, although some omissions were found in relation to staff photographs being held on personnel files. All staff within the home are appropriately trained and supervised in order to provide quality care, and undertake their roles competently EVIDENCE: The staffing levels on the day of inspection were sufficient to meet the needs of the residents. The recruitment systems in place are of a good quality; 7 staff files were sampled for inspection all of which contained the relevant pre employment checks, references and their relevant qualifications. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 19 One recently employed member of staff is still awaiting a criminal records bureau check, and the manager is following good practice in that this member of staff is being supervised until the check has been thoroughly processed, in order to protect the residents and the member of staff’s best interests. However there were omissions in the 7 staff files viewed, 3 failed to contain a recent photograph as is required therefore a requirement has been made to ensure that all staff files contain a recent photograph, and thus reflects the score of 2 for standard 29 within this report. The manager informed the inspector that 5 members of staff are undertaking their NVQ level 2 in care, with 4 further carers undertaking the NVQ level 3 and 10 awaiting to register, which it is anticipated will begin by early November 2005. It was noted that the manager is arranging further training in dementia care, first aid and fire training for all staff, all of which she anticipates to be delivered within the next couple of months. All staff undergo a yearly appraisal system, four of which have been undertaken with the remaining staff to be undertaken by December 2005, and regular supervisions are undertaken. Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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, 32, 35, 36 and 38 The management approach of the home creates an open, positive, transparent and inclusive atmosphere. Residents’ financial interests are safeguarded through the homes record keeping, policies and procedures. Safeguards are in place to protect their health, safety and welfare although the storage of wheelchairs found during the inspection could be seen to compromise this. EVIDENCE: The registered manager has undergone registration with the CSCI, deeming her a fit person to manage the home. She has many years experience of working with older people, and has more than two years management Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 21 experience. There are clear lines of accountability within the home and within The Orders of St John Care Trust. Residents and members of staff reported that the manager runs the home in an open positive inclusive way, and they would have no worries approaching her if they had any concerns and were confident that they would be listened to and dealt with appropriately. Regular staff meetings are held in the home, which are minuted and placed upon the staff notice board in order that staff can access these. Likewise, regular residents’ meetings take place, in which open discussions and suggestions take place around issues regarding the home, the care provided, meal provision, entertainment etc and any points which the residents would like placed on the agenda. Similarly these meetings are minuted and easily accessed via the notice boards within the home. Whilst there are policies and procedures in place to promote and protect the health, safety and welfare of the residents, a requirement has been made within this report to address the unsuitable storage of wheelchairs to allow residents safe access to all communal areas within the home. (see section headed environment) Longlands DS0000013158.V262181.R01.S.doc Version 5.0 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 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 3 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 3 18 3 2 x 2 x 3 3 x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x 3 3 x 2 Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 23 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 OP7 Regulation 14 Requirement The registered manager must gain the service users/representatives signature evidencing they have been involved in the assessment and care planning process The registered manager must identify and document potential risks to the resident and/or staff members within a risk assessment The registered manager must ensure wheelchairs are stored appropriately to allow easy access to all parts of the home without obtrusion, thereby ensuring their health safety and welfare. The registered manager must ensure that a recent photograph of each staff member is kept on file Timescale for action 28/10/05 2 OP7 13(4)c 28/10/05 3 OP38OP21 13(4)c 23(2) 28/10/05 4 OP29 19(b) Schedule 3 28/10/05 Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 24 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 Longlands DS0000013158.V262181.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. 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