Inspection on 15/09/05 for Longshaw House

This inspection was carried out on 15th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longshaw House 10/10/07

Longshaw House 20/06/06

Longshaw House 08/02/06

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 Graham Oldham Unannounced 15 September 2005 09:30 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. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Longshaw House Address Crosby Road Blackburn Lancashire BB2 3NF 01254 260627 01254 587591 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) Blackburn with Darwen Social Services Mrs Nora Aspinall Care Home only Personal Care (PC) 34 Category(ies) of Old age, not falling within any other category registration, with number (OP) 27 of places Dementia (DE) 7 Dementia -over 65 years of age (DE)(E) 7 Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI. 2 The home is registered for a max of 34 service users to include: Upto 27 service users in the category of OP (over 65 yrs of age, not falling within any other category) who require personal care. Upto 7 service users in the categories of DE (Dementia under 65 yrs of age or DE(E) Dementia und.er 65 yrs of age, not falling within any other category) who require personal care. Date of last inspection 15 March 2005 Brief Description of the Service: Longshaw House is a purpose built residential home and one of Blackburn with Darwen Borough Councils homes. The home can accommodate up to 38 older people. Seven older people can be accommodated who have dementia. The home is single storey with a dormer area used as staff quarters. The home has a variety of lounges and a large dining room. Residents with dementia have facilities. The home is furnished in a homely manner. There is a hairdressing salon and separate treatment room where medication is stored. All bedrooms are single and have been personalised to residents tastes. Aids and adaptations for disabled or infirm residents are available in bathrooms and toilets. The home is situated on the outskirts of Blackburn. Local amenities are accessible. There is a bus route to access the town centre. There are garden and patio areas. A new parking area has been built to the front of the property. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 15th September. 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. Four residents were case tracked. 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 talked to about care issues. Two senior members of staff conducted the inspection. 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 and grounds was conducted. What the service does well: The assessment process was good and ensured residents needs were met at the home. The relationship between staff and residents was good. Comments included, “the girls are very good and do their best”, “staff are very good to me”, “If I want anything I just ask for it”, “the manager is a lovely lass” and “staff are very nice”. One staff member said, “I like the way we have one-one interaction with residents”. The interaction between residents and staff provided a good atmosphere for residents to live in. Resident’s comments about food showed the managers and cook listened and provided food to resident’s tastes. The recruitment practices were good and protected residents from possible abuse. The décor and furniture was homely and met residents tastes and expectations. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 6 Staff were well trained and had the knowledge and experience to look after the residents competently. Live entertainment was provided and appreciated by residents. All four residents mentioned how much they had enjoyed the previous days entertainer. Activities were provided to help residents lead a fulfilling life. 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. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 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 Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 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) 3 Assessment documentation was sufficient to ensure the needs of residents were met upon admission. EVIDENCE: Four plans of care examined during the case tracking process contained assessment documentation gained from social services. The home assessed each resident prior to admission and gained information from family members and relevant professionals. The information gained ensured residents were correctly placed at the home. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 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, 8, 9 and 10 Plans of care contained information staff required to meet the needs of residents. Not all plans of care showed residents involvement. Residents attended health care specialists. Medication policies and procedures were good. Residents were treated with respect. EVIDENCE: Four plans of care were examined during the case tracking process. Plans of care were detailed and kept up to date. Plans of care were not consistent with some plans containing more detailed information, partly due to there being two different assessment forms. Plans of care did not consistently show resident involvement. Two members of staff questioned in depth gave a good account of the care given to the resident’s case tracked. Plans had been reviewed. Plans of care generally enabled staff to have the knowledge to meet resident’s needs. Plans of care contained evidence residents attended clinics and specialists. Equipment was provided for specialised needs and included pressure relieving devices. One resident case tracked said, “ I fell and broke my hip. The staff here arranged for me to have a frame”. Residents said they were attending Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 10 opticians, chiropodists and specialists. Resident’s health care needs were being met. Medication policies and procedures were observed during the inspection. The medication record sheets were well maintained apart from two members of staff not signing hand written annotations. Medication policies and procedures were good and helped protect the safety and welfare of residents. During the inspection the inspector observed the interaction between residents and staff. Staff were observed to be respectful and treat residents with dignity. Residents said, “when the girls help me they are very careful to keep my privacy”, “ I get help with bathing and staff treat me privately” and “ I am treated privately” Staff were careful to preserve the privacy and dignity of residents. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 11 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 and 15 Residents said the home met their expectations and lifestyle. Contact was maintained with family and friends in an unrestricted way. Residents had control over their lives. Four residents case tracked said food was good. EVIDENCE: Information contained within the plans of care detailed residents preferences and choices. Resident’s case tracked said, “I get well looked after”, “they are looking after me well” and “I am very satisfied with my care”. Residents also described the activities on offer. Residents said, “I don’t go on the outings but I do like the concerts, my television and visitors”, “they had an entertainer yesterday and I laughed all the way through it. She was good” and “I like the entertainment, watching football, reading, playing music but don’t like to join in the other activities”. Residents said they had choice of routine and could come and go as they liked. The routines of the home were arranged around resident’s preferences. Residents said visiting was unrestricted. Families were observed to visit on the day of the inspection. Visiting was promoted at the home Residents said, “I can go to bed and get up when I like”, “I get choice of what I want to do”, “I choose what I want to wear” and “they have bingo and things Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 12 like that but I don’t like to attend”. Choices were offered at the home to help residents retain some independence. All four residents said the food was good and there was a choice offered. Lunch was served on the day of the inspection and a choice was observed. The main meal was served in the evening. Residents were observed to be fed in an individual and discreet manner. The cook carried out environmental health checks. The kitchen was clean and tidy. Meals and mealtimes were good for residents. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 13 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 There was a complaints procedure for residents and their families to voice their concerns. Abuse procedures were in place to protect residents from possible abuse. EVIDENCE: There had been no complaints made to the Commission for Social Care Inspection. One complaint had been made to the home and handled appropriately. Four residents case tracked did not have any complaints. Residents were able to follow the correct procedures to make a complaint. There were adult abuse procedures, a copy of the No Secrets document and a whistle blowing policy. The Blackburn with Darwen procedures were available for staff to follow a local initiative and the registered. Some staff had undertaken courses on adult abuse. Staff spoken to were aware of abuse issues. The abuse procedures were sufficient to protect the health and welfare of residents. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 14 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 - 26 Residents lived in a secure environment. Communal and private space was homely and met current requirements. The home was clean and hygienic. Aids and equipment met resident’s needs. Laundry services were provided for residents EVIDENCE: The inspector conducted a tour of the building and visited all communal rooms and most bedrooms. Rooms visited had been personalised to resident’s tastes. Residents case tracked were satisfied with their rooms and communal space. There was a garden, which was secure and safe for residents. One resident said, I have a lovely view”. Residents were observed sitting together and socialising in various parts of the home. Copies of the service user guide and statement of purpose were on show and available for anyone to read. Toilets and bathrooms had disability equipment suitable for the resident group accommodated. Equipment such as hoists and grab rails was observed during the tour. Bedrooms had a lockable door and lockable facility within the room. The general décor was domestic in character. Some toilets bathrooms and sluices needed to be upgraded. The person in charge said the upgrade was to be completed soon. The environment met resident’s needs. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 15 There was an adequately equipped laundry. Residents were satisfied with the service provided. Policies and procedures were in place for the control of infection and helped protect the health and welfare of residents and staff. Two requirements made previously in regard to the control of Legionella and water supply regulations may have been completed. Evidence was seen of a contractor having conducted an assessment but no document was produced to demonstrate the two issues had been finalised. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 16 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) 27, 28, 29 and 30 The skill mix and numbers of staff met resident’s needs. Care staff had attained 50 NVQ qualifications. The recruitment practices were good. Staff were trained appropriately. EVIDENCE: The duty roster was examined and sufficient staff were employed to meet the needs of residents. The recruitment procedures were good. Two staff files contained all the documentation necessary to meet the current standards. Recruitment procedures protected residents from possible abuse. 80 of staff had attained a NVQ qualification. There was a training and development profile which detailed training undertaken by all staff and also showed were updating was needed or shortfalls occurred. The person in charge said, “all staff complete a recognised induction and foundation training”. Two staff files contained documentary evidence to support induction and foundation training was ongoing. Two members of staff were questioned in depth. Staff verified they had taken training, including health and safety, first aid, moving and handling, protection of vulnerable adults, food hygiene and a course on behavioural techniques, which the staff member described as “excellent”. One staff member said, “I feel it’s a well run home. I am a domestic but have been given the same training opportunities as anyone else”. Other staff comments Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 17 included, “we have a good staff team and work well together”, “there is a good support network here” and “there is a supportive and good staff team”. The training enabled staff to gain better knowledge to care for residents. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 18 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) 35 The financial affairs of residents was safe-guarded. EVIDENCE: The financial administrator said, “we only handle pocket monies. If the pocket money builds up we bank it for residents. Two staff members have to record any monies being withdrawn and used for residents. Every so often residents pocket monies is audited”. The financial systems used at the home protected residents financial interests. Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 19 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 2 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 3 x x x Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 20 Yes 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 OP7 Regulation 15(2) Requirement The registered manager must ensure plans of care are compiled with residents involvement. The registered person must ensure the toilets and sluices are suitable to meet residents and staff needs. The registered person must ensure Legionella is suitably controlled at the home. The registered person must ensure that facilities comply with the Water Supply (Water Fittings) Regulations 1999 Timescale for action 30/10/05 2. OP19 13(4) 23(1)(a) 13(3) 13(3) 31/1/2006 3. 4. OP25 OP26 31/10/05 31/10/05 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 OP7 OP9 Good Practice Recommendations The registered manager should ensure plans of care documentation is standardised and contain all the information required. The registered manager should ensure all hand written presciption items are signed by two members of staff. F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 21 Longshaw House Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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 Longshaw House F57 F07 S34743 Longshaw House V243869 150905 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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