Inspection on 20/06/06 for Longshaw House

This inspection was carried out on 20th June 2006.

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 10/10/07

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 Key Unannounced Inspection 20th June 2006 10:00 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.V289620.R01.S.doc Version 5.1 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.V289620.R01.S.doc Version 5.1 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.V289620.R01.S.doc Version 5.1 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: Upto 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 whithin any other category) who require personal care. Date of last inspection 8th February 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. The fees for Longshaw are £354 per week. Extras residents or their families have to pay for include hairdressing, newspapers or periodicals and outings. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 20th June 2006. 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. 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. 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. What the service does well: The assessment of residents was thorough to ensure the needs of residents could be met at the home. Plans of care were up to date and enabled staff to deliver effective care to residents. The administration of medication was good and protected residents from possible harm. Residents said, “visitors can come when they want to”. One visitor said, “I can visit when I like” Staff were observed treating visitors when they arrived and were courteous. Visitors were offered refreshments. Visiting at the home was promoted for the benefit of residents. Food was good and met the dietary needs of residents. Residents were aware of their rights to complain and felt comfortable they were able to communicate with staff. Adult abuse procedures protected residents from possible harm. Residents case tracked said, “staff are always pleasant and helpful” and “the staff look after us, they are wonderful”. One visitor said, “This place has been a godsend to me. I have no qualms about leaving her here and I am very happy leaving her here”. One visitor leaving said, “thank you very much for all you Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 6 have done”. The positive attitude of staff provided a warm and homely atmosphere for residents. Visiting professionals made the following comments in a survey form. “The addition of the dementia unit has been a welcome addition for dementia sufferers and the overall care in the dementia unit is excellent”, “The staff are always pleasant and helpful when I visit here”, “This is a valuable resource provision” and “staff are welcoming, caring, understanding and attentive”. Staff gave visiting professionals valuable assistance to provide care for residents. 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 DS0000034743.V289620.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 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 the following standard(s): OP3 and OP4 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. On the day of the inspection a member of staff was observed taking to a social worker explaining the admission procedure and the home could not admit until they had carried out their assessment. If suitable, residents received written confirmation their needs could be met at Longshaw. The assessment of residents ensured their needs could be met at the home. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 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 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. Residents confirmed the care they received was what they required. Staff members were accurate in describing the care they gave matched what was written in the plans. Plans had been developed with the assistance of residents or a family member. One visitor said, “they talk to me about my wifes care regularly”. Plans of care had been reviewed. Plans of care enabled staff to meet the needs of residents. Residents case tracked said they were satisfied with medical arrangements. The plans of care for three residents case tracked contained information residents attended specialists such as their GP, District Nurses, Speech Therapists, Occupational Therapists, Psychiatrists, Tissue Viability nurses, Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 10 Chirpodists and Opticians. Plans contained a falls risk assessment; nutritional assessment and pressure area care assessment. Appropriate equipment was provided when necessary. One resident case tracked said, “I go to the diabetic clinic, see the District nurse and also my doctor”. 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. 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. One resident case tracked said, “I prefer the staff to give me my medication and it always comes on time”. The good administration of medication protected residents from possible harm. Staff were observed to treat residents with privacy and dignity when delivering personal care. One resident case tracked said, “they help me bath and shower. They give the care privately”. Residents were comfortable with the way staff delivered personal care. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 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 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. Leisure activities were provided and were suitable 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: Resident’s case tracked said they had some choice within the routines of the home. Choices included times of getting up and going to bed, choice of food and choice in what they wanted to do during the day. Leisure activities were offered and both residents on the residential unit were satisfied with what was on offer. Residents said, “I like to join in the activities, I join in with the things I like but like to go out and “I like to join in when the entertainer comes once a month”. Residents on the dementia unit were entertained with music and were playing a communal game which both stimulated and exercised them. Residents had a choice of routine to retain some independence. Residents case tracked said visiting was allowed at any time. Residents were observed entering and leaving the home at will. Visitors to the home were encouraged by the welcoming attitude of staff. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 12 Residents case tracked were satisfied with food served at the home and said, “the food is good and there is plenty of it” and “the food is very good”. A meal was taken during the inspection and found to be tasteful and nutritious. Residents were observed to be fed in a discreet and individual manner. One resident said, “the staff have to help feed some residents”. One visitor said, “It’s my wifes Birthday today and they have made her a cake. I am very happy with it. The food is good and they feed me if I want”. The kitchen staff carried out necessary environmental health checks. Food served at the home suited residents tastes. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 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 the following standard(s): CH16 and CH18 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. Residents were protected 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. Resident’s case tracked said, “they have to look after us – we make them. I have no complaints” and “I would complain to the manager”. One visitor said, “You can approach the senior carer with any concern and she will deal with it”. Resdents and their families were confident their concerns would be listened to. The home had a copy of the ‘No Secrets’ document. The home had policies and procedures for the protection of adults. The home followed the Blackburn with Darwen Adult Abuse procedures to follow a local initiative. Staff 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.V289620.R01.S.doc Version 5.1 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 the following standard(s): OP19, OP20, OP21, OP22, OP23, OP24, OP25 and 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: In general the home was well maintained. Improvements had been made to the dining room ceiling and there were new toilets, sluices and a wet room completed on one wing with further improvements to toilets, bathrooms, and sluices on another wing. The new bath will provide good bathing facilities for disabled residents. Furnishings and décor was domestic in character. Each room was lockable and had a lockable facility within the room. The temperature of water was contolled to prevent residents from scalding themselves and was checked by maintenance staff. There were aids and equipment for disabled residents. Residents were observed wandering around the home at will. Resident’s case tracked said, “I have a very nice room” and “I liked my old room but I have had to move while they make improvements but Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 15 this room is nice”. The rooms visited had been personalised to residents tastes. The environment met the needs of residents. There were policies and procedures for the control of infection. The laundry was sited away from food preparation areas and contained suitable equipment to clean clothes and bed linen. The walls and floors of the laundry were clean. Hand washing facilities were available where clinical waste was produced. There were systems in place to protect residents from contracting Legionella. The registered manager could not produce confirmation the home met current legislation regarding water fittings. Infection control procedures protected residents and staff from possible harm. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, OP28, OP28 and OP29 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 were very good and safeguarded 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. References had been obtained. There was a copy of the CRB check. Other documentation such as an application form, interview form, terms and conditions of employment, job description and record of induction was contained within the files. 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. There was a well-trained staff team to care for the residents needs. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. 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 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 registered manager had the experience and qualifications to perform the role. The registered manager updated her knowledge to help provide more skills to the role and provide better care for residents. The home had completed quality assurance questionnaires with residents. Quality assurance views had been sought from stakeholders. There were recorded meetings held with staff and residents. There was a business plan. Quality assurance work ensured the views of all concerned were taken into account and acted upon if necessary. Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 18 The financial administrator said, “We do not look after anybodies finances or are power of attorney for anyone. The money is paid directly into individual bank accounts and they pay the fees. We hold some pocket monies and keep individual records. The officer in charge and another member of staff will go around and issue the money to residents who need it. All money is kept in a safe. I audit the accounts on a regular basis”. The financial procedures and records were observed and proved to be accurate. The system used protected residents from possible financial abuse. Gas and electrical appliances and installations had been maintained. The fire alarm system had been maintained. The call bell system had been maintained. The lift had been maintained. Hoists had been maintained. There was a contract for the removal of clinical waste. There was a health and safety policy and procedures. 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.V289620.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 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 3 X 3 X X 3 Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 20 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 OP19 Good Practice Recommendations 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 the area of the roof that has leaked is repaired and the damaged toilet redecorated. The registered manager should ensure the home complies with all the Water Fitting Regulations and send a copy of the certification to the CSCI 2. 3. OP19 OP26 Longshaw House DS0000034743.V289620.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington 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 DS0000034743.V289620.R01.S.doc Version 5.1 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!