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Inspection on 14/02/06 for Longlands Care Home

Also see our care home review for Longlands Care Home for more information

This inspection was carried out on 14th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Longlands Care Home provides a high standard of care to its residents. The home is well run with residents at the heart of the service. Residents spoken to during the inspection spoke highly of the Manager staff team and care that is received. One resident said, "I`m content here, the staff are lovely". One relative spoken to during the inspection said, "The residents are in safe hands, the home is friendly and residents enjoy companionship".

What has improved since the last inspection?

There were no requirements identified at the last inspection in August 2005. This was a first visit to the Home for the Inspector and as such it was difficult to assess what has improved since the last inspection.

What the care home could do better:

This was a positive inspection. Examination of records and discussion with staff highlighted some over ordering of medication that requires attention from the Manager to reduce medication wastage.

CARE HOMES FOR OLDER PEOPLE Longlands Care Home 35 Longlands Road Middlesbrough TS4 2JS Lead Inspector Katherine Acheson Unannounced Inspection 14th February 2006 11:00 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 Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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 Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Longlands Care Home Address 35 Longlands Road Middlesbrough TS4 2JS 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) 01642 211119 01642 247838 Mimosa Healthcare (No 9) Ltd Mrs Jennifer Van Oord Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Longlands Care Home is registered to provide personal care for forty-three older people. The home is situated on the outskirts of central Middlesbrough and is close to shops, pubs and other amenities. The home is a modern, two storey, purpose built facility. There are thirty-nine single bedrooms and two double bedrooms. All bedrooms have ensuite facilities, which comprise of a toilet and hand washbasin. All but one of the bedrooms meet space requirements of National Minimum Standards. Communal lounge and dining areas are situated on the ground and first floor of the home. A passenger lift is available to access the first floor. There is a paved area to the front of the home and a well maintained garden to the rear. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection started at 11:00am and lasted for two hours. Three residents, two relatives and the Manager were spoken to during the inspection. Numerous records including medication, personal allowance, training, and policies/procedures were examined. 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. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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 Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): The above standards were not inspected. EVIDENCE: Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 8 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): 9 The home’s medication policy/procedure ensures that there are safe practices in place for dealing with medication. However, over-ordering of some medication has resulted in unnecessary wastage. EVIDENCE: The home’s system for storing, administering and recording medication was seen to be effective, storage is safe and complies with the relevant regulations and records of medication received at the home and given to residents were seen to be accurate. A record of controlled drugs is maintained. The Manager said that those residents who are able are encouraged to self medicate, a risk assessment is carried out on the resident to determine ability and safety, and lockable storage for medication is provided. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 9 It was observed during the inspection that the home take and record the medication fridge temperature on a weekly basis and that on a couple of occasions the fridge temperature was reading too high. The Manager said that action had been taken to address the problem, it was suggested at the time of the inspection that it would be advantageous to take and record the medication fridge temperature on a daily basis. An audit of medication and discussion with staff highlighted some over ordering of medication in particular that medication that is not dispensed in blister pack, the Manager said that she would take immediate action to address the situation. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): 13, 14 Resident’s daily lives are enhanced by the social activities provided by the home and the welcome it extends to residents visitors. Residents are supported and encouraged to lead active lifestyles based on their preferences and choice. EVIDENCE: The Manager said that activities and outings are in plentiful supply and included bingo, arts and crafts, dominoes, sing-a-longs, and trips out. The Manager said that all residents are registered with Dial a Ride and as such enjoy regular trips out. Residents spoken to during the inspection said that in the last twelve months they have been to Whitby, Coulby Newham, Middlesbrough Town Centre, the local park and museum as well as numerous visits to Saltburn. One resident spoken to during the inspection said, “There’s plenty to do I’ve been to Redcar, Saltburn and The Little theatre. We are going to the theatre in April to see All our Yesterdays”. Another resident said, “I go out quite a bit, I go to a club every Friday night”. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 11 The Manager said that the home support residents to practice their religion and that visits from clergy are available to the home, residents spoken to confirmed that this was the case. Residents interviewed said that contact with family and friends is encouraged and that visiting is at any time. One relative spoken to during the inspection said, “We are made to feel welcome. We are always offered a cup of tea. It’s a cosy friendly atmosphere all the residents are one big family, they all chat to each other”. Residents interviewed spoke of flexibility in routine. One resident said, “I can do what I want to do when I want to do it”. The Manager said that residents are involved in decision making through residents meetings, the Manager advised that the homes cook, laundry assistant, administrator and house keeper also attend the meetings so that residents can speak to them directly. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): 18 The home’s adult protection policy and training that staff receive helps protect residents from abuse. EVIDENCE: The Manager said that all staff receive adult protection training on induction and at regular intervals throughout their employment. Evidence was available to confirm that staff have attended adult protection training, which was facilitated by Social Services. The Manager said that she and another staff member have recently attended an in depth course on adult protection and that it is her intention to facilitate the training in house to staff on a regular basis. Residents spoken to during the inspection said that they felt safe. The home’s adult protection policy/procedure was available for inspection. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): The above standards were not inspected. EVIDENCE: Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): 28 Appropriate numbers of care staff are Qualified to NVQ Llevel 2 or 3 in Care and as such ensures a knowledgeable work force. EVIDENCE: The Manager said that 52 of care staff are trained to NVQ Level 2 or 3 in care or equivalent with a number of other staff registered and working towards their NVQ Level 2 in care. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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): 31, 35 The Manager is appropriately qualified, experienced and competent. The home is well run with residents at the heart of the service. Systems are in place to ensure resident’s money is managed appropriately. EVIDENCE: The Manager, Jennifer Van Oord has appropriate care and management qualifications. Jennifer has many years of experience of working with the elderly in a social care environment. It was evident from the inspection that Longlands Care Home is well run. The Manager throughout the inspection demonstrated effective leadership and was well organised. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 16 Residents spoken to during the inspection spoke highly of the Manager and staff team, one resident said, “All the staff are very good”, another said, “The staff are very good, patient and helpful”. The home operates an effective system in which they look after the personal allowance of a number of residents. Accurate records of transactions and receipts were available for examination. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 18 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 Refer to Standard OP9 OP9 Good Practice Recommendations The medication fridge temperature should be taken and recorded on a daily basis. The Manager should take action to address the over ordering of medication. Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Longlands Care Home DS0000056178.V282517.R02.S.doc Version 5.1 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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