Inspection on 20/11/06 for Longlands Care Home

This inspection was carried out on 20th November 2006.

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 Care Home 14/02/06

Longlands Care Home 18/08/05

Longlands Care Home 25/11/04

Longlands Care Home 19/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Longlands Care Home 35 Longlands Road Middlesbrough TS4 2JS Lead Inspector Val Daly Key Unannounced Inspection 5th December 2006 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 Care Home DS0000056178.V320336.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 Care Home DS0000056178.V320336.R01.S.doc Version 5.2 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 Stubbs Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 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.V320336.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by one inspector over two inspection days. As a key inspection, all of the key standards were examined. A tour of the home took place, residents records were examined, maintenance and service records were examined, records including accidents, complaints, menus were looked at and a number of residents, staff, relatives and the manager were involved in discussion about life in Longlands. What the service does well: What has improved since the last inspection? The carpet on the first floor corridor has been replaced. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 6 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 Care Home DS0000056178.V320336.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 Care Home DS0000056178.V320336.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&6 Quality in this outcome area is good. This judgement has been made from evidence gathered before and during a visit to this service. Resident’s needs are assessed prior to admission, ensuring their needs can be met. EVIDENCE: Three resident’s care files were examined and they included the care manager’s assessment prior to entry to the home. The home manager then visits the potential service user to ensure that the needs can be met at Longlands. The assessment is based on activities of living and physical wellbeing. The care records were comprehensive and informative and well written. The home does not provide intermediate care. Longlands Care Home DS0000056178.V320336.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 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are detailed and evaluated regularly. Medication procedures are robust. EVIDENCE: Three files were examined and they all contained individual plans, detailing social profiles, health, and personal care needs. The documentation was easy to read, gives a good history of the resident and included ‘a day in the life of’ showing how the resident likes to spend their time. The plans and risk assessments were signed by the resident or relative to show agreement with the plan. They were also evaluated regularly. There was information contained in the files to show that resident’s health care was being met. Policies and procedures were in place for the ordering, receipt, storage, disposal and administration of medication. Senior staff carries out administration of medication and they have received training in the safe handling of medication. At the time of the inspection there were no residents who managed their own medication. Residents spoken to felt that their privacy and dignity is maintained. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have choices in their daily lives. Good contact is maintained between residents, relatives and friends. Residents are provided with a varied diet. EVIDENCE: Residents interviewed said they chose how they spent their day, either staying in their rooms apart from meal times, or joining in with activities, or chatting with friends in one of the lounges. There is a range of activities available in the home if residents choose to join in, usually something arranged during the week. The home employs an Activities Coordinator working twelve hours over three days a week. In house activities are available such as, bingo, dominoes, reminiscence, videos and gentle exercises. Residents also enjoy outings to the local theatre and shopping trips with transport from Dial a Ride being used. During discussion with residents they said they were satisfied with the activities. There was a notice board displaying information of forthcoming events such as a carol service and Christmas party. Residents have a meeting every three months and upcoming events are discussed. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 11 Religious services take place in the home weekly for those residents who wish to attend. Also some residents have their own individual visits from the local churches. Three residents said that friends and family are welcome to call at any time and can visit in their bedroom, one of the lounges or dining room. Two relatives interviewed confirmed they could visit at any time and praised the staff for the care they gave their family member. The menus showed that a variety of food and drinks were available for residents. There was a four weekly menu in place, which gave choices for every meal. Further alternatives are available when needed. The menus are changed seasonally, being devised by the manager and cook. Residents spoken to say that the food was always fresh and tasty. One resident said ‘if I don’t like what is on the menu I am always offered another meal or snack’. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints system. To ensure residents are safeguarded against abuse, all staff receives training in Adult Protection. EVIDENCE: Three residents interviewed said that they would be comfortable speaking to a member of staff if they had any concerns. The home has a complaints policy and procedure in place. There was evidence in the staff training file to show that staff had received training in Adult Protection’ and that this is a rolling programme. During interviews with staff they were aware of the procedure to follow in the case of suspected abuse. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 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 clean, warm and well maintained offering service users a homely and safe environment in which to live. EVIDENCE: A tour of the home was carried out. Resident’s bedrooms contained personal possessions and were comfortable and homely. The corridor carpet on the ground floor was stained, however the manager was in the process of having this replaced and had just chosen the new carpet, to be fitted in January 2007. The flooring in the bathroom on the first floor requires replacing, being worn and marked. This room also needs some re decoration and re grouting around the bath. Maintenance certificates were in place and up to date. Checks on equipment are carried out by the handy man in the home; records showed that they were in line with the maintenance programme. The home was clean and odour free. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are clear leadership skills demonstrated by the manager and staff are trained and supervised. Recruitment policies and procedures are robust. EVIDENCE: The manager has a strong team around her to ensure consistent, high quality care for the residents. There is a team leader on each floor, with two seniors and four carers during the day shifts and one senior and three carers during the night. The home has recruitment policies and procedures in place. Three staff files examined showed that the home’s policies are being followed and all the required documentation was in place. It was noted that the staff files were very well organised and easy to follow. The home has a training plan in place and the manager allocates the places to the staff. Staff training files were examined which showed training had been carried out in Food Hygiene, Transfer and Handling, Challenging Behaviour, ‘No Secrets’, Infection Control, Document and Record Keeping, Diabetes, Dementia Awareness, First Aid and Fire Training. The Team Leaders are also the Training Co-ordinators and organise speakers to come into the home, such as the Diabetic Nurse. At the time of the inspection thirty care staff out of thirty-five employed had achieved NVQ level 2 or above. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 15 Domestic, kitchen and administration staff had also achieved NVQ level 1. The home has a formal supervision system in place with staff receiving supervision every eight weeks. It was apparent from staff interviews that they enjoyed working in the home and being part of a team was very important. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 16 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager gives strong leadership and staff work as a team. Residents are protected by the health and safety policies and procedures. EVIDENCE: The manager has achieved NVQ level 2, 3 & 4 and the Registered Managers Award. She is also an NVQ Assessor. The home has a quality assurance system in place to seek the views of the residents and relatives. The manager said she is going to develop this further to include other visiting professionals. The Area Manager also carries out a monthly audit, with an action plan where needed. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 17 Meetings for residents and staff are held three monthly and minutes from these meetings are kept. Staff meetings are split up into smaller groups, Care staff, kitchen staff, and domestic, which give everyone an opportunity to comment and contribute to the running of the home. Resident’s finances and records were kept appropriately with signatures in place. Two residents said that their relatives help them manage their finances and retain monies for them. The Housekeeper is also the Health and Safety representative and she carries out regular audits. She attends regular courses, Advanced Fire Training to ensure she is kept up to date. A number of health and safety records and certificates were examined; PAT (portable electrical appliance) testing, fire maintenance, chair lift and hoist maintenance certificates and all were appropriate. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 18 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 3 X 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 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 X 3 X X 4 Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 19 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. 1 Standard OP19 Regulation OP23 (2)(d) Requirement The flooring in the bathroom on the first floor requires replacing. Some re decoration and re grouting of the tiles around the bath is also required. Timescale for action 30/03/07 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 OP33 Good Practice Recommendations Further development of the quality assurance to include the views of visiting professionals. Longlands Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Care Home DS0000056178.V320336.R01.S.doc Version 5.2 Page 21 - 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. 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