Inspection on 29/04/05 for Longlands Nursing Home

This inspection was carried out on 29th April 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 Nursing Home 22/10/07

Longlands Nursing Home 28/09/06

Longlands Nursing Home 28/11/05

Longlands Nursing Home 24/11/04

Longlands Nursing Home 15/06/04

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 Nursing Home Pound Lane Cassington Oxfordshire OX29 1DL Lead Inspector Philippa MacMahon Unannounced 29 April 2005 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 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 Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longlands Nursing Home Address Pound Lane Cassington Oxfordshire OX29 7PL 01865 881440 01865 883286 mail@crownnursinghomes.or.uk Crown Nursing Homes Telephone number Fax number Email 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 Susan Jones Care Home (CRH) Care Home with nursing (N) 35 Category(ies) of Terminally ill over 65 years of age (TI(E)) 3 registration, with number Old age, not falling within any other category 35 of places Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. On admission persons should be aged 60 and over. Date of last inspection 24/11/04 Brief Description of the Service: Longlands Nursing Home was formerly a private residence and is in a most attractive situation close to the church and centre of the village. A purpose built extension has been added to provide a pleasant two-storey care home with nursing, providing 31 single and two double rooms, all with en-suite facilities, including showers. The rooms are decorated and maintained to a high standard. There are several sitting areas and two dining rooms provided for service users. The grounds are extensive and attractive and provide a pleasant outlook from all the rooms. There is ample care parking space in the front of the premises. The home is managed by a senior sister in charge with a team of nurses, care assistants and housekeeping staff. The company employs a maintenance person, physiotherapist and an occupational therapist who share their time between the five Crown homes. Meals are traditionally English and a 4-week rotating menu is offered. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this inspection the staff were busy assisting the residents in their morning routines of getting up and dressed. The inspector spent a significant amount of time talking to the residents, relatives, visitors and staff. 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 Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 standard(s) None of these standards were assessed on this occasion. EVIDENCE: Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 standard(s) 10 It is apparent to the inspector that the staff have a clear understanding of privacy and dignity issues. EVIDENCE: Two of the residents spoken to said that the staff were all very kind towards them and treated them with respect at all times. The inspector observed the staff assisting the residents in a kind and gentle manner, and addressing them by their chosen name. All staff also knocked on doors before entering a resident’s private room, the bathroom or toilet. One of the relatives commented that all the residents were always “well turned out”, with staff paying attention to clothing and general appearance of the individual. A resident was also impressed that they had clean clothing every day! A GP visited the home during the inspection and saw each of his patients in their own room. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 9 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 standard(s) 12,13,14,15 Overall the residents’ social, cultural, religious and recreational interests and needs are partially met. As the occupational therapist only comes to the home one day a week, there are six days when there is no provision for supporting the residents’ interests and activities. Visitors are always made very welcome and relatives and friends are considered to be part of the “family”. Wherever possible the staff assist residents in exercising choice and control over their lives. The quality of the food provision at the home, whilst meeting the national minimum standards, is not of the same high quality as the other services provided. EVIDENCE: Crown homes employ an occupational therapist who visits the group’s five homes every week to plan and deliver a programme of suitable activities. She visits this home once a week. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 10 One of the residents told the inspector that most of the activities involve making things and she felt that, as a woman who had spent most of her life making things, she now wished to be involved in more passive, gentle activities. Another comment from a resident was that it would be nice to see some gentle physical exercise such as armchair exercise. Crown Homes owns a minibus and each home has the bus and driver available once a week for outings that the residents may wish to make. Three of the residents spoken to enjoy their own company, and like to read and do crosswords, and have no wish to join in any group activities. Having said this, they do quite like to see others enjoying themselves. One of the residents expressed a wish to get outside in the garden in her wheelchair, but felt that the staff are too busy and she did not want to trouble them. The local church provides a monthly service of Holy Communion, and in between times visitors from the church “pop in” for a chat with those residents wishing to receive them. The Roman Catholic priest also attends the home on a regular basis. During this inspection there were five visitors to the home and the inspector was able to meet with them. They all felt that they were made to feel very welcome and involved in the care provision. There are no restrictions to visiting. Historically it has been difficult for the home to be involved in the local community, and the registered manager has made great strides to access the local groups and encourage them to become involved. Residents and staff spoken to confirmed that staff do not deal with their financial affairs, and that this is left to them. They also said that it had been a great help in moving into the home to be able to bring some of their personal possessions in order to make them feel more settled. Meals and mealtimes are important to those residents spoken to. They appreciate “never being hurried or fussed over” by the staff. “Generally the food provided is ok, but could be a better standard”. It is felt that the food presented is very basic and uninteresting, and lacking in fresh green vegetable and fruit. “Supper time is very poor with packet soup, and sandwiches made with thick horrible bread”. The residents felt that the cook, whilst being very capable, does not have a clear understanding of how to cook in the English way. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 11 The Inspector spoke to the cook, who is very enthusiastic and wishes to learn all she can about English cooking. She would like to see more fresh vegetables supplied, rather than frozen, and, instead of using “packet mixes”, to be able to make food from basic ingredients. She agreed the bread supplied was poor, and the inspector saw that it was thick sliced bread. The cook would like to supply a better choice of food that the residents would like, rather than what is supplied by the company. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 standard(s) 17 The residents are able to participate in the civic process. EVIDENCE: The general election is imminent and those residents wishing to use a postal vote have been assisted to do so. One resident handed her ballot paper to the inspector and asked for it to be posted. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 standard(s) 22,24 That there is a risk to the residents’ health and safety in that there is no emergency call bell provided in the communal lounges. It is a statutory requirement that a call system with an accessible alarm must be provided in every communal room used by the residents. The home does not provide lockable storage unless a resident asks for it, and it is evident that residents may be going without having precious belongings around them. It is recommended that the home should provide lockable storage space in all the residents’ private rooms and a key be made available to them. EVIDENCE: During the inspection a resident fell to the ground in the communal lounge, and another resident shouted for help. No staff were available and the inspector attended the scene and was unable to summon further help as there was no emergency call bell in the room. The inspector, having made sure that the resident was safe and comfortable, asked the cook to go and find a member of staff. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 14 During the course of discussion one resident and her relative told the inspector that there was no lockable storage space in her room for money or valuables. They had not thought to ask for this as they assumed that they should not have any valuables in the home. The lady had not worn any of her jewellery since coming to live in the home, and had left it with her family. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION x x x 2 x 2 x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x x x x x x x x x Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 18 no 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 22 Regulation 23(2)(n) Requirement That the call system and accessible alarm must include the communal rooms within the home. Timescale for action 31.05.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 12 15 Good Practice Recommendations The registered manager should look into ways of ensuring that the activities programme provides opportunites for the residents on more than one day a week. It is recommended that the company should look into ways of providing training for the cook in the art of English cookery. Consideration should be made into providing more fresh green vegetables and fresh fruit and that the supper menus should be reviewed with the residents. Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burgner House 4630 Kingsgate 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. Extracts may not be used or reproduced without the express permission of CSCI Longlands Nursing Home H57-H08 S27162 Longlands Nursing Home V222267 2904052 Stage 4.doc Version 1.30 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. 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