Inspection on 10/10/07 for Longshaw House

This inspection was carried out on 10th October 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

Longshaw House 20/06/06

Longshaw House 08/02/06

Longshaw House 15/09/05

Longshaw House 15/03/05

Longshaw House 21/07/04

Longshaw House 01/03/04

Longshaw House 26/03/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Longshaw House Crosby Road Blackburn Lancashire BB2 3NF Lead Inspector Mr Graham Oldham Unannounced Inspection 10th October 2007 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 Longshaw House DS0000034743.V347112.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. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longshaw House Address Crosby Road Blackburn Lancashire BB2 3NF 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) 01254 260627 01254 587591 www.blackburn.gov.uk Blackburn with Darwen Social Services Mrs Nora Aspinall Care Home 34 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (7), Old age, not falling within any other of places category (27) Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 34 service users to include: Up to 27 service users in the category of OP (over 65 years of age, not falling within any other category) who require personal care. Up to 7 service users in the categories of DE (Dementia under 65 years of age, or DE(E) (Dementia over 65 years of age, not falling within any other category) who require personal care. Date of last inspection 20th June 2006 Brief Description of the Service: Longshaw House is a purpose built residential home belonging to Blackburn with Darwen Local Authority. Thirty-four residents can be accommodated at the home including seven in the short-term dementia unit. Twenty-one residents were accommodated at the home. One wing was closed for extensive upgrading. The home is single storey with the exception of staff quarters situated in a dormer. The home has a variety of lounges and a large dining room. Several corridors have seating arrangements for residents who have become friends to sit together. Residents with dementia have their own facilities. The home is domestically furnished and decorated. There is also a hairdressing salon and treatment room where medication is stored. All bedrooms are single and have been personalised to resident’s tastes. Aids and adaptations are available for disabled or infirm residents in toilets and bathrooms. A new bath for the disabled was due to be fitted in the current upgrading of facilities. The home is situated on the outskirts of Blackburn. Local amenities are accessible to residents. There is a bus route a short walk from the home. Garden and patio areas are available for all residents. There is a car park to the front of the property. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 5 The fees for Longshaw are £9.55 per night for respite care or £333.97 per week for long stay. Hairdressing, newspapers or periodicals and outings are not included in the fee. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on the 10th October 2007. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Two residents from the residential side and one resident from the dementia side were case tracked. Unfortunately only one resident was able to supply information. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Two visitors gave their viewpoints to an expert by experience. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. The inspector was accompanied by an “expert by experience” for part of the inspection. An expert by experience is someone who has some personal experience of care servicves for older people and forms an independent and open-minded view of the care and services on offer. The report contains reference to what she found. One staff member returned a survey form to the CSCI. • The member of staff thought there was usually enough information supplied about the residents they cared for. • The member of staff thought employment checks were professionally undertaken • The member of staff thought the induction process mostly covered what they she needed. • The member of staff thought training was relevant to the role, helped her understand the needs of each individual and kept her up to date with ways of working. • The member of staff thought management met often to give support and supervision. • The member of staff knew what to do if she had any concerns. • The member of staff thought communication was usually good. • The member of staff thought there were usually enough staff to meet the needs of residents. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 7 The member of staff thought she had the necessary skills to meet each resident’s diverse needs. • The member of staff thought did well by looking after the older people and by feeding and clothing elderly people. The member of staff did not wish to talk to the inspector. The member of staff was generally satisfied with the support and knowledge she had to meet the needs of residents. One relatives survey form was returned to the Commission from a relative. The relative thought enough information from the home was always provided to help make decisions. • The relative thought the care home always met the needs of residents. • The relative thought they were always helped to keep in touch. • The relative thought they were always kept up to date with important issues. • The relative thought residents were well supported. • The relative thought staff usually had the right skills to look after people properly. • The relative thought the different needs of residents were met. • The relative knew how to make a complaint and thought the home always responded appropriately to any concerns. • The relative thought residents were always supported to live the life they chose. • The relative thought the home performed well by always informing her if her mother was ill and they have telephoned the doctor and they share a laugh and joke with her. • The relative thought the care service could improve by - everything seems fine. The relative did not want to speak to an inspector. The relative thought the home was performing well and met the needs of her families. Six residents returned questionnaires to the Commission for Social Care Inspection (CSCI). • Three residents had been issued with a contract and three thought they had but said they could not remember. • Four received enough information to decide to move to the home. Residents commented. I used to come in for a bath and meals before I decided to stay here. I can’t remember because I was poorly when I came here. I didn’t get any information because I was only given two hours notice to leave the home I was in which closed. • All six always received the care and support they needed. • All thought staff listened to them. • Four thought staff were always available when needed and two usually. • All six always received the medical support they needed. • Three thought there were always enough activities and three usually. Residents commented. If I want to, I like to go to the dos and bingo and I like dominoes, cards, bingo, musical movements and singers. I went out last week. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 8 • • Four always liked the meals and two usually. Residents said. I like meat best, I like most meals, very good meals here and I don’t like jumbled up stuff. • All six knew how and whom they could complain to. Most said staff or management. • All six thought the home was always fresh and clean. One said spotless and another its lovely so far. • One was aged 60 – 69 and four were aged over 80. (One declined to answer. 5 were female and 1 male. All six residents were British and Christian. Four residents considered themselves disabled. 5 residents said they were heterosexual and 1 said nothing in this area. All six filled in the forms with support. No residents wished to speak to the inspector. In general the survey forms returned to the Commission for Social Care Inspection were very positive and demonstrated care was good. • What the service does well: The assessment of residents was thorough to ensure the needs of residents could be met at the home. The satisfactory administration of medication protected residents from possible harm. One resident case tracked said, “I came from Astley House –I had been there before. It’s all right here. I am happy here. It’s better than Astley House. The resident case tracked was satisfied with the care offered at this care service. One resident case tracked said, “The food is good”. The expert by experience took lunch with the residents and said the meal was good. Food served at Longshaw was satisfactory to resident’s tastes. Residents had access to health care specialists to ensure their health needs were met. A resident case tracked said, “The care is good and they treat me privately”. The expert by experience said, “The staff appear to be friendly and attentive”. Staff were observed to treat residents with dignity. The professional attitude of staff enabled residents to feel comfortable with their personal care. Staff said, “I love working here. I think we have a good staff team and get good supervision. We all work together and it’s wonderful. We very much get supported by management” and “I seem to fit in and I like it. There is a good staff team. Everybody is so friendly and the management are fantastic they Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 9 made me feel really welcome”. The expert by experience said a relative told him he had no grumbles with staff. He likes the idea of a manager sleeping in at night – it is a bonus. Management are very helpful and approachable’. The caring attitude and happy staff team provided a good atmosphere for residents. There have been no complaints or incidents of abuse at the home since registration. A resident case tracked said, “I feel safe here. I would complain to the managers if I had a problem and I think they would listen to me”. Staff spoken to during the inspection were aware of the adult abuse and complaints procedures. Staff training and the use of policies and procedures helped keep residents safe. The homely environment provided residents with good accommodation The expert by experience concluded by saying, “I really felt that this home tried hard to give good care to the residents. I was surprised to see only two residents in the Dementia Respite side of the home when they can take seven residents. One other resident arrived before I left. The home is old and there are some problems with wallpaper coming off the walls in places probably due to condensation. (The inspector noted this was covered in the maintenance book). There is to be an Executive Board meeting on 18th October 2007 to decide the future options for the homes in the Blackburn/Darwen areas. Three homes are likely to be sold to the private providers but so far Longshaw will remain but likely to change in some ways. There has been a decision to build Community Village Environments and Home Care services will go to the private providers except for Crisis Support, Intermediate Care and Rehabilitation. These changes obviously have caused concerns for families, staff and residents and the uncertainties cause unsettlement all round. This is an old home with apparently some old standards, which is nice to see. I wish them well for the future. Thank you for a lovely lunch. In general the expert by experience had no concerns about the home. What has improved since the last inspection? The area of the building leaking water had been repaired to provide better facilities for residents. Certification was provided to show the home meets water regulations to help protect the health and welfare of staff and residents. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 10 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. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 11 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 Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 12 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): OP3 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were professionally assessed and received confirmation in writing their needs could be met at the home. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care contained assessment documentation gained prior to admission. One person was being admitted on the day of the inspection and all necessary paperwork had been undertaken. The assessment of residents ensured their needs could be met at the home. The expert by experience said, The home accommodates 34 residents 7 of which have Dementia although others with none challenging behaviour are accommodated on the residential side. Staffing levels are good according to the manager. This is a single storey home for residents with upstairs used for staff who sleep in at night”. The care home did not provide intermediate care. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 13 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): OP7, OP8, OP9 and OP10 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Plans of care contained good information for staff to deliver care to residents. Residents had access to specialists to meet their health care needs. Administration of medication was satisfactory and protected the health and welfare of residents. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care detailed the care each resident received. Care plans did not always show signs of resident or family involvement or were reviewed monthly. Staff members were accurate in describing the care they gave matched what was written in the plans. One resident was able to say her care was what she needed. Plans of care had been reviewed. Plans of care enabled staff to meet the needs of residents. One resident case tracked confirmed she had access to specialists. The plans of care for three residents case tracked contained information residents attended Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 14 specialists such as their GP, District Nurses, Psychiatrists, Chirpodists and Opticians. Plans contained a falls risk assessment; nutritional assessment and pressure area care assessment. Appropriate equipment was provided when necessary. Resident’s health care needs were met by attending health care specialists. There were policies and procedures for staff to follow for the administration of medication. There was a controlled drug cupboard and register. Drugs were securely stored. The medication administration chart was examined and contained no errors. Two staff signed for hand written prescriptions. Records were maintained of medication entering and leaving the home. There was a British National Formulary and a copy of the Royal Pharmaceutical Societies guidelines. Staff had undertaken medication training. The temperature of stored medication was recorded. The good administration of medication protected residents from possible harm. The inspection was mainly conducted from communal areas. Staff had a pleasant attitude and observed asking residents what they would like to do and giving personal care in a professional manner/. The dignity of residents was maintained. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 15 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): OP12, OP13, OP14 and OP15 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. New funding should ensure leisure activities could be provided to resident’s tastes. Visiting was open and unrestrictive to encourage families to enter the home. Residents were able to exercise choice and retained some independent living. The food served at the home met residents needs. EVIDENCE: The expert by experience said, “I did ask the two ladies I sat with for lunch whether they went out. They said that they did not go out and that there was not much going on”. The registered manager said, “I have just appointed a new activities organiser for 15 hours a week. She is getting used to the residents by going around and asking what they would like to do. She will make a new plan from the information and hopefully residents will join in but it is getting more difficult as they deteriorate. We have entertainers once a week and an exercise class by a trained person. We have spent £150 for new craft items for the activities coordinator. We also have carpet bowls; skittles, cards, dominoes and a giant connect four. Most residents watch television or like socialising with each other Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 16 and their families”. A plan for activities was being formulated to provide suitable activities and stimulation for residents. Residents had choices within the routine such as getting up and going to bed, what they want to wear or at mealtimes. Choice described in care plans was well written and made what choices staff could offer residents clear. Residents could remain in their room if they wished. Residents had a choice of routine to retain some independence. There were no restrictions to visiting. The expert by experience spoke to several visitors and visiting was not as issue. Relatives said they visited on a regular basis. Visiting was open and encouraged residents to socialise. The expert by experience took a meal and said it was good. The kitchen was clean and tidy and the cook carried out environmental checks. Three cooked meals were offered each day with the main meal at teatime. There was a choice of meal and the manager said residents could take a meal when they wished. The expert by experience said, “Protective bibs/aprons were available to protect clothing from spillages. Staff wore blue plastic aprons in the dining room. There was a hatch for dirty dishes and a hatch for food to be served from”. The expert by experience observed residents being fed and assisted in a suitable manner. Food served at the home suited residents tastes. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 17 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): OP16 and OP18 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were aware of their right to complain and confidant to approach management with any concerns. Policies and procedures for the protection of vulnerable adults protected residents from possible abuse. EVIDENCE: There was a complaints policy and procedure which met CSCI guidelines. No complaints had been made to the Commission or the service since the last inspection. One resident case tracked was satisfied she could complain and staff would listen to her. The expert by experience spoke to two family members who thought staff were approachable. Staff spoken to were aware of the complaints procedure. Residents and their families were confident their concerns would be listened to. There was a copy of the ‘No Secrets’ document. There were policies and procedures for the protection of adults. The home followed the Blackburn with Darwen Adult Abuse procedures to follow a local initiative. Some staff had received training in the protection of vulnerable adults. Staff spoken to were aware of abuse issues and the whistle blowing policy. Policies were available to protect residents from financial abuse. Residents were protected from possible abuse. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 18 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): OP19 – OP26 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The garden area for residents accommodated in the dementia part of the home was unsuitable for its purpose. The homes décor and furnishings were domestic in character and of a good standard. EVIDENCE: On the day of the inspection the expert by experience toured the home and said, “The home is pleasantly decorated in all areas”. Wallpaper in sitting rooms and bedrooms. Pleasant carpeting in most rooms except rooms where incontinence is a problem and the dining room and of course the bathrooms. The halls and some other areas are part blown vinyl and painted whilst patterned papers are in lounges and bedrooms. The curtains and carpets are often chosen by staff and co-ordinating curtains and duvet covers are the ‘norm’. Key workers are allocated for the residents who will shop if necessary for residents. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 19 There are comfortable settees for people to sit on and chairs at a correct height for older people. There is a quiet room where visitors can see a resident or staff member in private. All areas are clean and fresh. and welcoming. The expert by experience said bedrooms are comfortably furnished but quite small. They have room for a single bed, bedside cabinet, bedside table, small wardrobe and small chest of drawers. They have a sink and a chair in the rooms. The beds did seem to be placed up to a wall due to lack of space. Two previously double rooms have been made into single rooms which can accommodate a hoist if necessary and larger wardrobes. The room size does affect resident’s suitability for this home at this time as mobility can affect someone’s suitability to be placed here. The doors are fireproofed when shut but there is not an automatic closing system in place as yet for the doors in case of fire. The manager did say that the last Fire Officer did suggest that these should be fitted and it has gone up to management for further consideration. The beds in the main are hospital type beds allowing flexibility of height. One new bed is wood with slatted sides, which are not used but put down. The foot of this bed is quite high and someone could have quite a fall climbing over the end of the bed if cot sides were in use. The home manager is quite aware of this problem and will not allow the use of cot sides but uses mats at the sides of beds and pressure mats to alarm staff in case someone is out of bed who perhaps should not be. One bedroom only had a smell of incontinence and this was quickly addressed. The expert by experience said all bathrooms were clean with none slip floor covering. Large areas of the walls were tiled in bright colours and some drapes to soften the clinical appearance. Two wet rooms have been installed- one in the side dealing with the residents suffering from Dementia and the other in the Residential side. These have been very successful and staff and residents find them very good. The manager commented that it was more dignified and easier to wash someone down when incontinent. There were handrails fitted and a low screen allowing staff to comfortably lean over to help wash the resident. There was also a secured chair fitted to sit the resident in whilst drying them. This was anchored to the wall. There was an easy chair also which was nice to see so that someone could sit in the chair whilst cleaning their teeth for example at the sink. Fresh clean towels were in the bathrooms but no signs of toiletries being used for all. Two bathrooms had baths in them. One had a bath, which could be electronically raised and lowered, and a hoist/chair, which also was electronically operated to allow someone to sit in the chair and be lowered into a warm bath. All bathrooms had thermometers fitted to check all hot water temperature- thermostats are fitted to the hot water system to prevent accidents. The expert by experience said the dining room was bright and airy. The tables were set for group of four people and there were clean tablecloths on the Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 20 tables. Cups and saucers were used at the tables with a teapot of tea and milk and sugar on the tables, which was nice. One of the ladies had lived with her daughter and had come into Longshaw for respite care. She said that she could not manage the stairs at her daughter’s house and had decided to stay in Longshaw. Her daughter had not been happy at her decision and had not been to visit her since. She had two sons one of which comes to visit mainly. The expert by experience visited the laundry and said. “There were three washing machines and two driers. Hanging racks were available to hang clothing up. There was a rotary iron and bedding, tablecloths and clothing is ironed if necessary. There was also an ordinary iron and ironing board. Soiled clothing is sluiced before putting into Red Alginate Bags and then put into the washing machine. There were individual named boxes with room numbers on them to place clean clothing prior to delivery to a person’s room. All clothing looked clean and fresh and I must say that none of the residents I saw wore soiled clothes”. The general impression of the expert by experience was the facilities and services at the care home met resident’s needs. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 21 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): OP27, OP28, OP29 and OP30 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Resident’s needs were met by the numbers and skill mix of a well-trained staff group. The recruitment procedures protected residents from possible abuse. EVIDENCE: Two staff files contained evidence staff had undertaken training relevant to their role. More than 50 of staff had successfully completed NVQ2 or 3 training. There was a staffing rota which demonstrated there were sufficient numbers of well trained staff on each shift. Two staff files examined during the inspection contained documents to prove the home had recruited staff in a responsible manner. Copies had been retained of training undertaken. Staff had received a copy of the codes of conduct. Supervision had been ongoing and staff had been supervised at least six times per year. Two members of staff confirmed the training had been undertaken and gave a good account of the staff team, management and care. There was a well-trained staff team to care for the residents needs. New staff undertook a three day induction course. On the course topics such as health and safety, moving and handling and food hygiene was taught to ensure staff had the basic knowledge needed to meet the needs of residents. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 22 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): OP31, OP33, OP35 and OP38 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. The registered manager was suitably qualified and competent to run the home. Quality assurance systems had not been fully developed to take into account the views of residents, family members and stakeholders. The financial system protected residents from possible financial abuse. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The expert by experience said, “The manager has been at the home for 11yrs and says that she sets high standards. She has two years to work before retirement age”. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 23 The registered manager has updated her knowledge and had the necessary experience to direct staff in a positive way. The financial administrator said they did not handle the finances for any resident. The system used to keep pocket monies was safe and protected residents from possible financial abuse. The registered manager said home quality assurance questionnaires were due to be sent to residents, family members and stakeholders. There were recorded meetings held with staff and residents. There was a business plan. Quality assurance work needs to be completed for this year to ensure the views of those connected with the home are sought and acted upon. Gas and electrical appliances and installations had been maintained. The fire alarm system had been maintained and regularly tested. Other items of equipment such as the hoists had been serviced. There was a contract for the removal of clinical waste. There were health and safety policy and procedures for staff to follow safe practices. A health and safety poster was observed in the building. The registered manager had a copy of the legislation as detailed within the standard. Staff had been trained in health and safety issues such as first aid, health and safety, infection control, food hygiene and moving and handling. The health and safety systems helped protect the health and welfare of residents and staff. Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 24 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 2 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 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 OP7 OP19 Good Practice Recommendations The registered manager should ensure all plans of care are developed with the assistance of residents or their families. The registered manager should ensure the plans of care are reviewed on a monthly basis. The responsible person should ensure the garden for the residents in the dementia unit is safe to use and contains plants and equipment suitable for this vulnerable service user group. The responsible person should ensure that when the forthcoming upgrading is undertaken doors to bedrooms have a self-closing device fitted. The registered manager should undertake periodic quality assurance questionnaires to react to the changing needs of those connected to the home. 4. 5. OP19 OP33 Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Longshaw House DS0000034743.V347112.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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