Inspection on 08/02/06 for Longshaw House

This inspection was carried out on 8th February 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 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 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 8th February 2006 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.V267434.R01.S.doc Version 5.0 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.V267434.R01.S.doc Version 5.0 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 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.V267434.R01.S.doc Version 5.0 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 15th September 2005 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. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 9th January 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 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. One resident case tracked suffered from dementia but was able to talk to the inspector. The registered manager 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 could be met at the home The relationship between staff and residents was good. Comments from residents case tracked included, “they are grand lasses and there are some good people living here. We have a good boss”, “I do indeed like it here. The staff are very friendly and kind”. All residents spoken to on the day of the inspection said they were happy at the home. A good atmosphere was observed during the inspection. The interaction between residents and staff provided a good atmosphere for residents to live in. Resident’s comments about food included, “the food is very good” and “the food is very nice – it’s good. We get a choice if we wish”. The registered manager said, “the cook talks to the residents about their preferences and amends the menu accordingly”. Food served at the home was satisfactory to the residents questioned. Plans of care were up to date and provided staff with the information required to care for each resident. Staff were well trained and had the knowledge and experience to look after the residents competently. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 6 Comments from staff questioned – “I really enjoy working here. Senior staff are very supportive” and “I am well committed, I love it here. We get good all round support”. Staff enjoyed working at the home due to the open and supportive management. Health and safety systems protected staff and residents health and welfare. 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.V267434.R01.S.doc Version 5.0 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.V267434.R01.S.doc Version 5.0 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): 3 Assessment documentation was sufficient to ensure the needs of residents were met upon admission. EVIDENCE: Two 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 assessment documentation of the dementia unit was particularly good. The information gained ensured residents were correctly placed at the home. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 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): 7, 8 and 9 Plans of care contained information staff required to meet the needs of residents. Resident’s attended health care specialists. Medication policies and procedures were good. EVIDENCE: Two plans of care were examined during the case tracking process. Plans of care were detailed and kept up to date. The registered manager said, “ the standex care plans are used at the home with the Blackburn with Darwen plans maintained for management”. Plans of care examined at this inspection showed resident or a family member involvement. The carer in charge of the dementia unit said, “we get most of our information from families or residents which tends to be more accurate than past reports”. 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 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. Nutritional and falls risk assessments had been carried out for the residents case tracked. One resident case tracked said, “I had to go to hospital to see a specialist”. Evidence was gained to show residents attending opticians, Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 10 district nurses, chiropodists and specialists. Resident’s health care needs were being met. Medication policies and procedures were met at the last inspection. The medication record sheets were well maintained although only one member of staff signed for hand written annotation in several instances. This is poor practice and can lead to drug related errors. Medication policies and procedures were generally good and helped protect the safety and welfare of residents. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 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): No standards were inspected within this section. All standards were met at the last inspection. EVIDENCE: Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 12 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): No standards were inspected within this section. Core standards were met at the last inspection. EVIDENCE: Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 13 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): 19 – 25 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. EVIDENCE: The inspector conducted a tour of the building and visited some 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. 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 were undergoing extensive change with new equipment being ready to be fitted. There were also new water heating boilers fitted but not yet active. The environment met resident’s needs. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 14 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): No standards were inspected within this section. All standards were met at the last inspection. EVIDENCE: Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 15 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): 33 and 35 The health, safety and welfare of residents and staff were promoted and protected. The quality assurance systems did not fully meet the required standard. EVIDENCE: The views of residents had been gained by holding recorded staff meetings and a quality assurance questionnaire. The registered manager said, “We hold regular staff meetings. Management meetings are usually held an hour or so before all staff who are able attend”. The views of families and stakeholders had not been obtained. There was a corporate business plan and an annual development plan. Questionnaires for families and stakeholders needed to be developed for the views of all involved in the home to be obtained. There was a health and safety policy and posters. Health and safety legislation was available for the manager to access. There was a good fire safety advice and records of drills and testing fire equipment. Electrical appliances and Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 16 equipment had been maintained and records were available for inspection. Two staff members were questioned during the inspection. One said, “I have undertaken training for first aid, fire awareness, health and safety, infection control, moving and handling and food hygiene. I am NVQ3 qualified and have taken a three day and a two day course for dementia care. I have also taken training to be a moving and handling assessor and a relaxation therapy course. I am going to take a risk assessment course soon”. The second carer questioned had recently moved from another home and said, “I have completed my induction here but qualified NVQ2 in care at another home. I also completed training for food hygiene, first aid, moving and handling and infection control”. There was a contract for the removal of clinical waste. Health and safety policies, procedures and staff training helped protect residents and staff from possible harm. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 17 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 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X 3 Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP25 Regulation 13(3) Requirement Timescale for action 31/03/06 2 OP26 13(3) 3 OP33 24 The registered manager must ensure Legionella is suitably controlled at the home. (This requirement was carried over from 31/10/05) The registered manager must 31/03/06 ensure that facilities and services comply with the Water Supply (Water Fittings) Regulations 1999 The registered person must, 31/03/06 obtain the views of families and stakeholders to fully meet quality assurance regulations. 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 OP9 Good Practice Recommendations The registered manager should ensure all hand written annotations in the medication record sheets are witnessed by two members of staff. Longshaw House DS0000034743.V267434.R01.S.doc Version 5.0 Page 19 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.V267434.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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