Inspection on 18/05/07 for Longlast

This inspection was carried out on 18th May 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

Longlast 08/06/06

Longlast 15/11/05

Longlast 01/06/05

Longlast 10/11/04

Longlast 26/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Longlast Thorpe Road Carlton Stockton-on-Tees TS21 3LB Lead Inspector Ray Burton Key Unannounced Inspection 18th May 2007 14:00 Longlast DS0000000010.V340655.R01.S.doc Version 5.2 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 Longlast DS0000000010.V340655.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 Adults 18-65. 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. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longlast Address Thorpe Road Carlton Stockton-on-Tees TS21 3LB 01740 631391 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 Joanne Heslop t/a Annfield Care Mr John Robinson Heslop t/a Annfield Care Julie Teasdale Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: Longlast is a nine bedded home which is registered to provide care to people with learning disabilities. The home is situated in a rural setting, on the outskirts of a village. Accommodation for the residents is provided in spacious single bedrooms, two of which have en-suite facilities, and there are three lounges/day rooms offering ample shared space. The building has been converted to enable it to offer spacious accommodation for the residents, and is set in its own grounds, with a large enclosed garden at the rear of the house. Transport is provided by the Proprietors, which enables residents to use the amenities of the village, as well as those further a field. The transport is also used for residents to experience regular outings and outside activities. The current scale of charge falls between £462.00 and £986.00 per week. There are additional charges for hairdressing, chiropody, personal items and petrol for travel. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults. The inspection commenced on 18th May and was completed 22nd May 2007. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to residents, the registered manager and members of staff. What the service does well: What has improved since the last inspection? What they could do better: Care plans were good however they could be improved by including more detail about the action to be taken as a result of risk assessments. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 6 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. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes assessment and admission process ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: There had been no recent admissions to the home however examination of three randomly selected residents records indicated that, prior to admission, a multi-disciplinary assessment had taken place to ensure the home could meet the needs of the prospective resident. Care plans contained comprehensive and detailed assessment of need: emotional, physical, communication, mobility etc. Ongoing monitoring and regular reviews measured the homes continued capacity to meet needs. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes care planning process ensured residents’ needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead as independent a lifestyle as possible. EVIDENCE: Observation during the inspection, examination of care planning documents and conversation with residents, the manager and members of staff showed each resident was supported to be as independent as possible. Residents were encouraged to be involved at an appropriate level in the day-to-day running of the home and to engage in everyday domestic tasks such as helping to maintain their own room, accompanying staff on shopping trips etc. Three care plans were examined; each contained detailed information about the personal, social and healthcare needs of the individual and showed how those needs could be met. Residents were consulted about things that affected their lives and were encouraged and supported to make decisions and to Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 10 exercise choice at an appropriate level in accordance with their individual plan and risk assessments. Assessments were in place for all aspects of the resident’s life: mobility, personal care, community participation etc. Risk assessments contained very detailed analyses of needs and behaviours. Coping strategies had been implemented to eliminate or reduce risk, and were in the main good. Care plans, in most cases, contained very clear, precise instructions and guidance; however in some instances further development was required so that all required actions/strategies were fully documented. Monitoring and re-assessment ensured changing needs were identified and appropriate action taken. Regular reviews were held attended by the resident, relatives and appropriate professionals as well as staff from Longlast. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were treated with respect and were presented with opportunities to lead fulfilling lives and were encouraged and supported by staff to take part in appropriate leisure activities in the home and the local and wider community. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: There was a relaxed and friendly atmosphere in the home and residents appeared to be at ease with staff and were treated with respect and addressed politely and appropriately. Staff were observed to knock on bedroom doors and request permission before entering the room. Care plans and conversation with the manager and staff showed how residents were encouraged and supported to develop their skills, lead satisfying lives and achieve as much independence as was possible. Most of the residents attended daytime activities in a variety of venues, and opportunity was provided for Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 12 each resident to take part in a wide range of suitable leisure activities both inhouse and in the community: TV and DVD’s, music, hand & foot massage etc. One resident enjoyed having members of staff read to her, another enjoyed dog walking with a member of staff. There were frequent trips out in the house vehicles: shopping, visits to pubs and restaurants, line dancing, bingo, theatre and cinema (one resident was taken to Bollywood films), coast and country, local parks etc. One resident said how much she enjoyed drawing and showed the inspector some pictures she had painted. Another said she had lived at Longlast for “quite a few years” and liked living at the home. She said she got on well with the staff and “did lots of things – such as doing washing and ironing.” She said she enjoyed going out with the staff and other residents, especially to bingo and to the seaside. She said here favourite place to visit was Whitby where she could have fish and chips. Satisfaction survey forms returned by relatives indicated a high level of satisfaction with the service provided: “All round care at the highest level. The happiness of the person in their care seems to be paramount to the carers.” “My sister integrates well into community life and has a wide range of social outlets. The home organises summer barbeques for residents and their families and at Christmas there is a carol evening. I think they are excellent in motivation and getting social events into action.” There was an awareness of the importance of enabling and supporting residents to pursue their individual cultural and religious activities: one was regularly taken to church; another, when a family member was unable to take him, was accompanied by a staff member to his local temple. Staff recognised the importance of residents maintaining contact with family and friends and helped them to keep in touch by assisting with telephone calls and sending cards for special occasions such as Christmas and birthdays. One resident was regularly taken to visit her mother. Although no relatives visited during the inspection, staff said that relatives and friends were encouraged to visit and were always made welcome. Menus showed residents were offered a varied and balanced diet. Alternatives were always available should someone not wish to have the dish of the day. Individual special/cultural dietary requirements were catered for. A resident said: “The food’s good, we can choose what we want to eat and have it when it suits us.” Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner In accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and support. EVIDENCE: The staff team was aware of the importance of promoting independence and of providing support in a sensitive and flexible manner, particularly when assisting with personal care, so that a person’s dignity and privacy was maintained. Care plans contained information about the person’s general health, dietary requirements and details of any specific ailment or medical condition. Constant monitoring of health was undertaken and healthcare needs addressed by residents own doctor and other community based professionals e.g. dentist, community nurse etc. None of the residents had been assessed as being able to control their own medication. All medicines were stored appropriately in a secure facility and Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 14 administered according to the homes policy and procedures by staff who had received appropriate training. Medication Administration Record Sheets were accurately maintained; and to aid identification, each had a photograph of the relevant resident attached to the sheet. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints procedure. Staff had received training in the protection of vulnerable adults. EVIDENCE: The home had a suitable complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion of abuse. Staff were able to demonstrate an understanding of what constituted abuse and what action to take should such an incident be brought to their attention. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: Longlast is a very pleasant and comfortable house set in its own spacious and well-tended garden. The home was well maintained, décor was cheerful and furniture of good quality. All areas were clean and hygienic and there were no unpleasant odours. Records showed that all necessary safety checks were conducted and maintenance and repairs carried out as and when required. The number and suitability of lavatories and bathing equipment met the National Minimum Standard; some bedrooms had en-suite facilities. All bedrooms were bright and cheerful and provided a suitable, comfortable and well furnished private space that was nicely decorated and had been individualised by the inclusion of many personal items that reflected the Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 17 personality and interests of the occupant. Some of the rooms had been fitted with sound and light equipment. Lounge areas were pleasantly decorated and well appointed. To the rear of the property was a large garden that provided a pleasant and secure area for residents to enjoy. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected by a competent staff team and by the homes policies and procedures on recruitment and training. EVIDENCE: On the days of the inspection there were sufficient staff on duty to meet residents’ needs. Staffing rosters showed satisfactory staffing levels were maintained at all times. The homes recruitment procedure ensured all necessary checks, including Criminal Records Bureau, were conducted and two suitable references received prior to commencement of employment. Five personnel files were examined, each contained evidence that all necessary procedures had been carried out. Staff records and conversation with the manager and members of staff indicated the staff team had the skills and experience necessary to meet residents assessed needs. New staff received a thorough induction and all staff were encouraged to undertake training that would aid their professional development and help them to meet residents needs. Training had recently Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 19 been undertaken in the following areas: First Aid, Lifting & Handling Fire, Food Hygiene, Communication, Abuse, and Safe Handling of Medicines. Eight members of staff were qualified to a minimum of NVQ level 2 and a further two were in the process of registering for the award. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well managed home with an enthusiastic and competent staff team. The health, safety and welfare of residents is protected by the homes record keeping and policies and procedures. EVIDENCE: The registered manager has suitable management experience and has recently completed the NVQ level 4 in Care, she intends shortly to register for the Registered Managers Award. The home had policies and procedures that complied with current legislation and recognised professional standards and covered all aspects of the management of the home. Records were kept to safeguard residents’ rights and best interests and to ensure the safe and effective running of the home; these were well maintained, up-to-date and stored appropriately. Staff were Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 21 aware of their responsibilities under Health & Safety legislation. Regular checks of the building and equipment were undertaken and maintenance and servicing carried out to ensure a safe and comfortable environment. The home had systems to measure success in meeting its aims, objectives and statement of purpose and to seek the views of residents and their families about the running of the home: formal residents reviews, monthly residents meetings, annual satisfaction survey sent to residents and families. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 23 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 Refer to Standard YA9 Good Practice Recommendations All required actions/strategies arising from risk assessments should be fully documented. Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 24 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 Longlast DS0000000010.V340655.R01.S.doc Version 5.2 Page 25 - 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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