Inspection on 01/08/05 for Longmead House

This inspection was carried out on 1st August 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

Longmead House 09/05/07

Longmead House 16/05/06

Longmead House 15/11/05

Longmead House 13/01/05

Longmead House 21/06/04

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

CARE HOMES FOR OLDER PEOPLE Longmead House 1 Buxton Lane Caterham Surrey CR3 5HG Lead Inspector Denise Debieux Announced 1 August 2005 @ 10:00am st 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. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longmead House Address 1 Buxton Lane Caterham Surrey CR3 5HG 01883 340686 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 Bridget Catherina McAleese Mrs Bridget Catherina McAleese CRH - Care Home 23 Category(ies) of DE(E) Dementia - over 65 (4) registration, with number OP - Old Age (23) of places Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Up to 4 (four) service users within the category older people (OP) may fall within the category dementia over 65 DE(E.) Date of last inspection 13 January 2005 Brief Description of the Service: Longmead House is situated in Caterham in a residential area accessible to main routes. The property is a Victorian house converted to provide accommodation for 23 older people. It is sited in its own grounds with car parking spaces at the front of the house and a large garden at the rear of the property. The home is owned and run by the owner who also has a private home adjacent to Longmead House. The home provides service users with a reasonable standard of accommodation, which consists of 15 single bedrooms, 2 of which have en suite facilities and 4 double bedrooms with en suite facilities. Shared space consists of a large lounge, dining room and conservatory. The home is arranged on the ground, first and second floors. The first and second floors can be accessed by a passenger lift. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 5.5 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This inspection was carried out by Denise Débieux, Lead Inspector for the service. Mrs Catherina McAleese (Registered Manager and owner) was present as the representative for the establishment. A tour of the premises took place. Prior to the inspection, survey forms were sent to the home and distributed to service users and their relatives. The results of these surveys and comments made are used in this report, as are comments made by relatives visiting the home at the time of the inspection. Four care plans were inspected in depth and the statement of purpose, service users’ guide, menus, staff rota and policies and procedures were all sampled. Two of the service users were spoken to at length; with a further eight service users and seven on-duty staff being spoken with during the tour. The inspector would like to thank the manager and staff for their time, assistance and hospitality during this inspection and the service users and their relatives who participated in the surveys. What the service does well: What has improved since the last inspection? The ongoing maintenance and redecoration of the home and gardens provide the service users with homely and comfortable surroundings in which to live Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 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. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 (Standard 6 does not apply as the home do not offer intermediate care) The home has a detailed and informative statement of purpose and service users’ guide that enable service users and prospective service users to make an informed choice about admission to the home. Each service user is only admitted to the home following a comprehensive needs assessment to ensure that the home can meet the service user’s identified needs. EVIDENCE: The four care plans sampled during this inspection were seen to be based on comprehensive assessments of needs and clearly set out staff actions required to be taken in order to meet those needs. In conversation with a relative of one service user it was clear that she was confident that her relative is well cared for. Two service users were spoken with at length and indicated that they felt that their needs were being met, one relative commented ‘ My relative has been a resident at Longmead for some time and the care has always been exemplary.’ Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 10 Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: Service users spoken with were complimentary regarding the care they receive at the home. One service user stated ‘Oh, I am very well cared for.’ All visiting relatives confirmed that they felt their parent was well looked after as did all relatives who completed survey forms. The four care plans sampled were comprehensive and clearly set out actions which need to be taken by care staff to ensure that all aspects of the personal care needs of the service users are met. It was discussed and has been recommended that staff relate their daily report writing to the required actions identified in the care plans. On the tour of the home staff were observed to knock before entering the service users’ bedrooms and all interactions were seen to be respectful and caring. Suitable screening was supplied in the shared rooms to ensure privacy. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 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 standard(s) 15 Meals are well-balanced and varied with individual choices and preferences catered for. EVIDENCE: Menus for four weeks were inspected and seen to be varied and well-balanced. The lunchtime meal was taking place during the inspection and the food was presented in an appetising manner. Ample staff were present and offered help or assistance where needed in a discreet and sensitive way. The atmosphere in the dining room was convivial and unhurried. One service user said that ‘the food is good, very good’ with another saying that ‘the chef is tremendous’. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 11 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) 16 and 18 The home has a simple, clear and accessible complaints procedure which includes timescales for the process. All required policies and procedures are in place to ensure that service users are safeguarded from harm or abuse. EVIDENCE: There have been no complaints to the home in the past year and all service users were clear on who they would speak to if they did have a complaint. The home has a whistle blowing policy in place that is included in their service users’ guide. Protection of vulnerable adults training is provided at the home by an independent training company and is attended by all staff. Recommendations have been made that the policy on prevention of abuse be brought into line with the Surrey local procedure and that the manager and deputy seek places on the Surrey Multi-agency Protection of Vulnerable Adults course. All service users surveyed said that they felt safe at the home with one service user commenting that she felt ‘terribly safe’. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 12 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) 19 and 21 The location and layout of the home and gardens are suitable for their stated purpose. An ongoing maintenance and redecoration programme provides the service users with clean, pleasant and homely surroundings in which to live. EVIDENCE: The home was toured during this inspection. The maintenance and redecoration programme for the home was seen to be ongoing with plans being made to refurbish the bathrooms. This was discussed during this inspection and it has been recommended that the manager consult an occupational therapist for advice prior to commencing the work. On the day of inspection the home was found to be warm and bright with a homely atmosphere and a high standard of housekeeping apparent. One service user commented that ‘I am very pleased to live in a nice, pleasant and happy house.’ Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 13 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) 28 The home has a staff training programme which is designed to ensure, as far as reasonably possible, that service users are in safe hands at all times. EVIDENCE: The manager expressed a firm commitment and belief in National Vocational Qualification (NVQ) training and stated that she has seen clear benefits for the service users and staff alike. At present two of the fourteen care workers are qualified to NVQ level 2 in care plus one qualified to NVQ level 3. Five additional care workers are currently undertaking NVQ level 2, and are expected to be qualified before the end of this year. One relative surveyed commented ‘I cannot speak highly enough of the care and affection my relative receives’ with one service user saying ‘The staff are all very pleasant.’ Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 14 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) 31, 32, 36 and 38 Service users benefit from the clear management approach at the home providing an open, positive and inclusive atmosphere. Formal staff supervision needs to be introduced to ensure that service users benefit from well supervised and supported staff. All policies, procedures and practices are in place to ensure, so far as is reasonably practicable, the health safety and welfare of service users and staff. EVIDENCE: The manager is a registered nurse and is currently undertaking her Registered Manager’s Award (RMA) training and hopes to have completed this by the end of the year. The deputy manager is nearing completion of her NVQ level 4 in management and plans to go on to complete her RMA. Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 15 The manager/owner is in day to day control of the home and all interactions observed between the manager and staff during this inspection clearly demonstrated that the home has a close and caring staff team. The manager stated that she meets regularly with all staff and it was apparent that the staff felt at ease and able to approach the manager at any time. The manager carries out documented supervision and monitoring of care practices but as yet there is no formal yearly appraisal or staff supervision system in place. Requirements have been made that these be introduced. During this inspection an environmental health officer’s food hygiene report and a sample of environmental safety certificates were inspected and found to be in order and up to date. Staff were observed to be following appropriate health and safety practices as they went about their work. One relative commented that ‘All the staff are polite, helpful and happy – therefore all the residents are very content.’ Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 16 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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 3 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 Standard No 16 17 18 Score 3 x 3 3 3 x x x 1 x 3 Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 36.1-3 Regulation 18(2)(a) Requirement The registered person must ensure that persons working at the home are appropriately supervised and introduce formal, documented supervision with care staff at least 6 times per year. The registered person must ensure that staff carrying out formal supervision receive appropriate training. Timescale for action 01.01.06 2. 36 10(3) 18(1)(c) 01.12.05 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 7 18 Good Practice Recommendations It is recommended that staff relate their daily report writing to the required actions identified in the care plans to evidence how service users needs are being met. It is recommended that the homes policy on the protection of vulnerable adults be revised to reflect the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. It is recommended that the manager and deputy manager seek places on the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults training course. h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 18 3. 18 Longmead House 4. 21 It is recommended that the advice of an occupational therapist be sought regarding upgrading the bathrooms. (Brought forward from report of 21/06/04) Longmead House h09-h58 S13706 Longmead V231472 010805 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Longmead House h09-h58 S13706 Longmead V231472 010805 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. 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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