Inspection on 12/04/10 for Longueville Court

This inspection was carried out on 12th April 2010.

CQC found this care home to be providing an Good service.

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

Longueville Court 22/04/09

Longueville Court 12/08/08

Longueville Court 30/10/07

Longueville Court 13/02/07

Longueville Court 20/02/06

Longueville Court 19/08/05

Longueville Court 12/01/05

Longueville Court 13/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for older people Name: Address: Longueville Court Village Green Orton Longueville Peterborough PE2 7DN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Don Traylen     Date: 1 3 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Longueville Court Village Green Orton Longueville Peterborough PE2 7DN 01733230709 01733230716 Kerry.elliot@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Kerry Susan Charlotte Elliott Type of registration: Number of places registered: care home 105 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia dementia dementia old age, not falling within any other category physical disability physical disability terminally ill Additional conditions: 1 (one) named male over the age of 65 years with Physical Disabilities Dementia (DE) 1 - The one place for one person under 65 years is for a named individual only Dementia DE = 1 female, is for a named person for the duration of their residency only Date of last inspection Care Homes for Older People Page 4 of 25 Over 65 0 0 39 101 1 0 101 1 1 0 0 0 24 0 Brief description of the care home Longueville Court was opened in 1995 as a modern, purpose-built, spacious care home on two floors, providing nursing and personal care for up to 105 people over the age of 65 years. The registration was varied in November 2004 for the home to provide care for up to 24 persons with physical disabilities in a dedicated unit within the home. Longueville Court is owned by Barchester Healthcare Homes Limited and is situated overlooking the quiet village green of Orton Longueville, approximately two miles from the centre of Peterborough. The building is a country house style, built on two levels and divided into four units Memory Lane and Robin unit are on the ground floor and Skylark and Kingfisher unit are on the first floor. Memory Lane provides care to elderly persons who have dementia related care needs. Robin provides care to people who have physical disabilities, whilst Skylark and Kingfisher provide nursing care. Longueville Court provides en-suite facilities in all rooms except one. It has an atmosphere of spaciousness and comfort. The company claim, to have created places that are not at all clinical or institutionalised , in their Welcome to Barchester Healthcare pamphlet. The home has attractive and secure inner courtyard garden and a sensory garden. The home attracts enquiries from an area greater than its immediate PCT locality. The CQC inspection reports are available from the CQC website and a copy is available to read at the home. Fees charged range from £789 to £1100 per week. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection was on the 22/04/2009. This inspection was carried out over two days on the 12 & 13/04/2010 when we visited the home. The methods used during this inspection included the following: case tracking one person care arrangements, reading the assessment details of four people and their care plans. We looked at the associated records of some care plans and these included medication administration record (MAR) charts, moving and handling records, food and fluid charts kept for two people and the daily notes made about the care provided by staff. We visited certain people in their rooms because they were being cared for from their beds. We managed to speak to twenty people throughout the course of the inspection. We spoke to four visiting relatives. We were vigilant to observe the attitude and interaction shown by all staff. We looked at the records kept for allegations of abuse and the complaints and compliments records. We assessed, at length, the arrangements to protect people from the risk of fire. In addition we inspected staff recruitment, induction and training records and the quality assurance methods used by the home. Care Homes for Older People Page 6 of 25 Throughout the inspection the manager was present and we provided her with feedback both during and at the end of the inspection. The home completed an Annual Quality Assurance Assessment when we requested this prior to the inspection. Of the thirty surveys we sent to people living at the home, we received seventeen completed forms. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 25 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home ensures their needs are assessed before a decision to move into the home is made. Evidence: The home informs all interested parties by providing a Welcome to Barchester pamphlet, a Service User Guide and a Statement of Purpose. People are assessed for their needs prior to moving into the home by commissioning authorities within the Primary Care Trust and by the home to evaluate peoples needs before a decision about moving into the home is made. Assessments have been undertaken by the unit managers responsible for the separate parts of the home that provide different types of care. A considerable number of people move into the home following a hospital admission. People who self fund their care are competently assessed by the home. Intermediate care is not provided and therefore Standard 6 is not applicable. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home knows the plan for their personal care and health care, although they could be further assured that the choices they make about their care and lifestyle, have been fully acknowledged. Evidence: We tracked the care and care plans of two people who were being cared for in their beds and one other person. Both people were cared for in their beds because they were significantly immobile and unable to communicate verbally. There were suitable risk assessments for falls, nutritional intake and skin integrity. Each element of their care plans had recently been reviewed. Referrals to community Health Service had been made and support was being given by specialist speech and language teams to provide advice about swallowing, food and dietary intake. Weight records showed both people were stable. When we visited one person in her room it was cold because a window had been left open. She had last been checked 2 hours previously. This was immediately made known to staff who then attended to her. We looked at the charts kept to record elements of bed care, such as the times and Care Homes for Older People Page 12 of 25 Evidence: periods when people are checked and manually repositioned to prevent pressure on skin areas and these had been regularly recorded. Food and fluid consumption records were kept and showed that care was consistent and appeared to be meeting these two persons needs. Another persons care plan and assessment and admission details were read. There was an assessment provided by a PCT that informed the care plan. There were elements of the care plan that were missing details of the care to be provided, such as when specific behaviour had been referred to with no clarification of what it was, or what the response from staff should be. However, there was adequate detail to inform care staff who were in turn able to tell us in much more detail about the care they were offering and how they had learned this. The knowledge that staff had about this person was not reflected in the care plan and could have been recorded to explain and to instruct other staff. There had been a recent incident that had caused the person to be treated in hospital that was not captured in the care plan as a new risk, or expressed fully in the review of the plan. This person had historical and ongoing contacts with Health and Social Care Services, although there was no clarity about the action involving this intervention to meet his needs. The written care plan had not captured the persons own objectives, aims or aspirations. The management of medicines was assessed and considered safe. Records showed accurate amounts of medicines were held and medication charts had been appropriately and accurately recorded when medicines had been administered. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home will try to support them to enjoy a sociable and engaging lifestyle. Evidence: The home offers care and support for a diverse range of needs and ages. The difficulty of providing leisure and recreational activities to all people is a challenge. The home have prepared a programme of daily leisure and social events and trips out by the activity organisers employed by the home. The home own transport to provide these trips out, although these arrangements are to an extent limited and repetitive. A number of people can drive the vehicles to enable people to access the community. The day of the inspection was warm and sunny and it was noted that only a few people were using the garden area of the home, a fact that has been noted on previous inspection visits. The doors to the gardens were open the Robin unit, one of the two ground floor areas of the home. Access from memory Lane unit was closed but they have use of a well maintained secure garden that may be difficult for people with poor memories to find without assistance. Care Homes for Older People Page 14 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst people are assured the home will safeguard them, further promotion of this most basic and protective element of care would result in additional assurances. Evidence: The home has a suitable complaints policy and a safeguarding policy and a whistleblowing policy. There were records of Safeguarding referrals the home had made and there was a Safeguarding resource file with details of the Local Authority guidelines and training. The home has generally and appropriately reported allegations of abuse. There were no visible signs or posters, or information within the home to inform people about the Local Authoritys, or the homes safeguarding arrangements, should anybody want, or need this information. All staff are trained in Safeguarding by the homes own trainers. The trainers told us they had spoken to Peterborough Primary Care Trusts Safeguarding trainers about their ability to provide appropriate basic awareness Safeguarding training to care staff. At the last inspection in April 2009 staff had not received awareness, or specialist training in Safeguarding from the Local Authority/PCT, but had received this by the home. When we discussed this with the manager she assured us that she would be willing to arrange for staff to attend the Safeguarding training provided by Peterborough PCT, in addition to that provided by the homes own trainers. We discussed the range of training offered through the PCT that would benefit staff knowledge and confidence and the people living at the home. Care Homes for Older People Page 15 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home provides a clean, comfortable and overall safe environment. Evidence: The home is comfortable spacious and well maintained. There were no noticeable offensive odours in any part of the home. Peoples bedrooms are personalised with their belongings, whenever this is practical. Each room has full en-suite facilities. Rooms had numbers and names attached to the doors. There were sufficient bathrooms and toilets in addition to the en-suite facilities. The outside smoking area, next to the doors from the Robin unit lounge, was being used by three people who lived in Robin unit. They told us that when it rains the roof does not protect them from the rain. We noticed a number of doors including staff room doors propped open with chairs, or other objects to prevent them from self closing. All doors had been fitted with some self closing device. However, certain doors had been prevented from closing, either for visibility and observation, or for access by people in wheelchairs and because some people insisted on this. During the inspection we met the homes Property Services Development Manager. We asked this person to contact the local Fire Prevention Officer for clarification about the Cambridgeshire Fire & Rescue Services outstanding Care Homes for Older People Page 16 of 25 Evidence: Notification of Deficiencies dated 10/03/2010 relating to self closing devices to be fitted to doors. The Fire Prevention Officer arrived shortly after to assess the outstanding risks, the doors held open and the permissible gaps between fire doors in corridors and the smoke seals that had been painted over. The home agreed they would comply with the outstanding requirements relating to this notification. Care Homes for Older People Page 17 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured staff are safely recruited but would be further assured if staff have received specific or additional training. Evidence: The home has an appropriate recruitment policy and their records provided evidence to show that staff had been rigorously and carefully recruited. There were adequate numbers of staff working in the home on the day of the inspection. All new staff complete a comprehensive four day induction immediately they commence employment. The records kept by the home did not provide evidence of the Common Induction Standards (CIS) programme. The homes Learning and Development Academy Training Grid included an induction which stated that training is delivered, In home, using the Barchester induction standards and meeting the Skills for Care Standards. It was discussed with the trainers and with the manager that there was a lack of evidence of the Skills for Care CIS having been recorded, completed and assessed. At the last inspection on 22/04/2009, it was reported that the Skills for Care Common Induction Standards had been recorded as having taken place on one day and that there was a lack of supporting evidence to show how competency had been assessed. Care Homes for Older People Page 18 of 25 Evidence: We asked if training in Huntingtons Disease had been provided to the staff who needed this training. We were informed it had been provided from the Huntingtons Disease Association, although there were no available records to verify this. The AQAA told us that 41 of Healthcare Staff have an National Vocational Qualification level 2 award in care. The home offer staff a Care Apprenticeship Scheme, which is linked to NVQ level 2 award in care. Care Homes for Older People Page 19 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home is well managed. Evidence: A new manager was appointed in late November/December 2009 who has since become registered with the Commission. She is a qualified nurse and an experienced manager. It was apparent that she had reorganised and re-ordered the office held records into files which we were able to easily locate. We saw numerous examples of an open door approach that she has encouraged. Regulation 26 and 37 reports have been regularly carried and sent to us when we expected them. Supervision of staff is arranged on a regular basis. The home do not manage or look after money belonging to people who live there. Care Homes for Older People Page 20 of 25 Evidence: The home has suitable policies and procedures to promote the health and safety of people in the home. The home reported an outbreak of diarrhoea and vomiting, prior to the inspection. It was noticed that alcoholic hand gel had been removed from the parts of the home where it had previously been available, although it was at the reception area adjacent to the main entrance. Care Homes for Older People Page 21 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 3 The manager should consider how the home can inform people, who self fund their care, that they are entitled to an assessment of their needs by their Local Authority, under the Community Care Act 1990. This will also ensure that any nursing element of a persons care has been assessed by National Health Service professionals to determine whether they are eligible for NHS funding for this element of care. Care plans should record a persons expressed aims and aspirations about their care and lifestyle. The arrangements made for peoples healthcare with community Health professionals, or primary Health Service clinics, should be kept in their care plan as a chronological record. The knowledge that some key staff have about peoples needs should be written into their care plan. This could help other staff to offer the type of care and support that might be appropriate. The home should continue to promote their initiatives to safeguard people through improved staff training Page 23 of 25 2 3 7 7 4 7 5 18 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations arrangements. 6 30 The Skills for Care Councils Common Induction Standards should be undertaken by new staff within the appropriate timescale after staff have had their initial four day induction and there should be clear evidence of their assessment and learning process. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!