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Inspection on 28/09/06 for Longview
Also see our care home review for Longview for more information
This inspection was carried out on 28th September 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.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Each prospective resident is assessed to make sure the providers are able to meet their needs, preferences and choices. Each resident also has a care plan that summarises their needs and the care and support required. Wherever possible residents are encouraged to direct their own care and it is evident that trusting and meaningful relationships have been established between the residents and experienced staff. Visitors are also positive about the standards of care and support provided. Residents` health needs are well met and medical services are promptly accessed when required. Suitable arrangements are in place to manage prescribed medicines in order that residents` health is promoted. Residents are offered a varied and stimulating lifestyle that reflects their preferences and choices. Visiting arrangements at the home are flexible and visitors commented staff always warmly welcomed them. A varied and nutritional diet is in place that reflects the individual residents preferences and choices and promote healthy living.Suitable arrangements are in place to deal with complaints and to protect residents from abuse. Residents and visitors said there are no barriers to raising any concerns. All allegations or issues about abuse are taken seriously and referred to the statutory authorities for investigation. The home is maintained to a good standard and the furniture, furnishings and fitting are domestic in nature wherever possible. The home is regularly maintained and a programme of redecoration is in place. Residents and visitors said they were very satisfied with the facilities provided and all were very pleased about their individual bedrooms that are also maintained to a good standard. Many have also been personalised by the occupant. Residents and visitors stated good standard of hygiene and cleanliness are maintained at all times. The staff is well trained and good team work arrangements are in place. The staff said that good support arrangements are also in place and advice, guidance and assistance is readily available each day and night. Visitors and residents clearly have confidence in the staff and the manner in which they undertake their duties. Appropriate management arrangements are in place and the providers and registered manager are suitably experienced. Two of the registered persons also take an active part in the care and support provided. Visitors and residents had confidence in the management arrangements. A range of measures is in place to promote safe working practices and to minimise risks to residents and staff.
What has improved since the last inspection?
The providers have improved and developed the care planning arrangements to make sure that staff has a clear summary of the individuals needs, preferences and choices. The arrangements to administer medicines have improved in order that medicines are managed safely and suitable records are in place. The providers have continued to improve and develop the range of activites available to residents at the home in order maximise stimulation and a varied lifestyle.
What the care home could do better:
The assessments of needs undertaken by the providers should be more detail to make sure that good information is available to staff. Where residents are not able to direct their own care or experience more complex needs more detailed information is required in the care plan. This will make sure that staff has good information about the care and support required. The activities provided should be extended so that residents have a wider range of stimulating pastimes. One of the bathrooms is currently used as a storage area. The facilities need to be available to residents at all times. Some of the toilet doors are also not lockable and there is no means of indicating when they are engaged. This needs to be addressed to make sure that residents` dignity is not potentially compromised. The providers have experienced a period of staffing difficulties as a consequence of vacant posts. The vacancies have now been filled and this has resulted in regularising the staffing arrangements. Visitors expressed concerns that insufficient numbers of staff have been on duty on certain occasions. The providers said they were confident sufficient numbers of staff have been on duty at all times. However there is a need to review the minimum staffing level required to safeguard residents and meet their needs. This will make sure that sufficient numbers of staff are on duty all times. The recruitment selection and vetting arrangements are not satisfactory given the provider does no comply with actions required by regulations. This needs to be urgently addressed to make sure that residents are safeguarded. The quality assurance measures are limited and need to be developed in order the providers can systematically assess the quality of the services and facilities provided. Where a risk management plan is in operation more detailed information and directions to staff are required. This will make sure that residents and staff are safeguarded.