Inspection on 10/05/07 for Longwood Place

This inspection was carried out on 10th May 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longwood Place 15/05/06

Longwood Place 23/01/06

Longwood Place 06/06/05

Longwood Place 15/03/05

Longwood Place 13/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Longwood Place 110 High Road Langdon Hills Basildon Essex SS16 6HY Lead Inspector Pauline Marshall Unannounced Inspection 10th May 2007 09:55 Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 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 Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 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 Adults 18-65. 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. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longwood Place Address 110 High Road Langdon Hills Basildon Essex SS16 6HY 01268 411414 01268 417649 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) www.essexcc.gov.uk Essex County Council Manager post vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Number of service users to whom personal care and accommodation is to be provided shall not exceed 8 (eight). Personal care and accommodation to be provided to no more than 8 younger adults with a learning disability (LD). Personal care and accommodation to be provided to adults between the ages of 18-65 years, unless those adults have used the service Personal care and accommodation to be provided to adults between the ages of 18-65 years, unless those adults have used the service prior to registration and the service is still able to meet their needs. 15th May 2006 Date of last inspection Brief Description of the Service: Longwood Place is a purpose built, split-level, establishment providing respite care for 8 adults with learning disabilities. The home has communal lounge/dining areas, eight single bedrooms, each with its own wash basin facilities, toilets and bathrooms on each floor. Wheelchair access is possible on both levels and this is aided by a lift. The home has gardens surrounding the property and verandas around the upstairs lounge. The home is situated in the Langdon Hills area of Basildon within easy reach of local shops and amenities, with the main centre of Basildon being 2 miles away. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with up to date information on the home. The guests’ daily charges are £159.08 per night and guests provide their own monies for personal items and activities outside of the home. Longwood Place provides short term/respite care placements only. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that lasted for five hours and fortyfive minutes. The process included a tour of the premises, a random selection of resident and staff files and discussions with staff, the manager, and senior team manager. As part of this inspection surveys were sent to six guests, six relatives’ four health and social care professionals and ten care workers to obtain their views on the service the home provides. At the time of writing this report two guests surveys, two relatives surveys, one health care professional survey and three care workers surveys were returned and all were positive in their responses. Comments included “staff respect guests through difficult times and give them reassurance at times of stress in their lives”. “The home is well run and guests are well treated and happy”. “The service is highly thought of and staff are helpful and professional”. Twenty-five of the forty-three standards were inspected. What the service does well: What has improved since the last inspection? The home now provides guests with the opportunity to participate in structured activities if they wish to do so. The guests’ bedrooms are now more homely and include pictures and mirrors. The home now employs a gardener and handyman. The home now employs more staff and this minimises the use of agency staff. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective guests have the information they need to make an informed choice and a thorough assessment of needs is carried out and the home meets their needs and aspirations. EVIDENCE: The homes Statement of Purpose was last reviewed in September 2006 and provides good information on the services that Longwood Place provides. The Service User Guide has been updated more recently in April 2007 and includes the details of the new manager who is in the process of applying to the CSCI for registration. The manager said that when the process is complete he will ensure that all documentation is updated to reflect the new information. The home no longer receives funding from Essex County Council for transport that has been used in the past for social activities in the local community, however the manager said that guests bring money with them for taxis should they wish to partake in social activities outside of the home. Funding is provided for any medical appointments guests have to make during their stay Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 9 at Longwood Place. Staff spoken with said that they frequently accompany guests on foot to local pubs and shops. Longwood Place provides short term and respite places and a guests’ stay at the home could be for one day or for up to two weeks at a time. All the guests receive a thorough pre-service assessment by the Local Authority social services department and the home itself. Care files examined contained evidence that a full assessment of needs had been carried out, however, there were areas on the assessment forms that had not been fully completed. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests assessed and changing needs are reflected in their individual support plans and they are supported to make decisions about their lives during their stay at the home. The home has good risk assessments and management plans in place to supports guests throughout their stay at Longwood Place. EVIDENCE: The home had two guests on the day of the inspection and another was due to be admitted later in the day. Two care files were examined and they contained good clear, informative care plans that offered staff clear instructions on the level of inervention required. There was evidence of reviews taking place but one of the care files examined was overdue for review. Additional staff are rotered on shift when guests that have been assessed as requiring one to one care are staying at the home. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 11 Guests generally have their set routines when staying at Longwood Place and still attend day centres and colleges as they would from home. Additional activites are planned by the homes staff and include, cake decorating, games, cards, gardening, pub visits, arts and crafts, kareoke, walks, bingo and DVD nights. The staff support guests in making decisions and the home regularly consults them on all aspects of their care. Service user survey forms returned to the CSCI confirmed that guests and their relatives were happy and that the care at Longwood Place is most satisfactory, excellent respite care. A health and social care professionals survey said that the staff at Longwood Place respect service users choices. The care files examined contained risk assessments for all areas of risk and each included a comprehensive management plan. Staff spoken with confirmed that risk assessments are regularly reviewed to take account of guests changing needs. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests take part in age, peer and culturally appropriate activities both in the home and out in the local community. Guests are encouraged to have and maintain appropriate personal, family and sexual relationships. The home provides guests with a healthy balanced diet of their choosing in clean and pleasant surroundings. EVIDENCE: Guests continue with their scheduled daily activities such as day centre and college during their stay at Longwood Place. The activities provided by the home throughout the guests stay include both indoor and outdoor activities as stated in the previous section of this report and the guests fund any transport they require out of their mobility benefits. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 13 Guests personal and family relationships are maintained during their stay at Longwood Place and visits take place as often as required bearing in mind that the guests stays are often of a short term nature where their families may be taking a holiday or break themselves. The care files examined evidenced that guests rights are respected and surveys returned confirmed that everyday responsibilities are recognised and that guests and carers speak highly of the home and its staff. The home operates a four-week rotating menu that offers guests an alternative choice for their dinner. Guests’ likes and dislikes are recorded in their care files and staff spoken with confirmed that alternatives are always available should the guest require something different to that on the menu. The home had a good supply of food stock and the manager said that the cook provides guests with wholesome home-cooked food. Staff spoken with said that the cook will always adapt the menu to suit individuals’ requirements. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests receive their personal support in a way they prefer and their physical and emotional health needs are met. Guests that are able to retain, administer and control their own medication. EVIDENCE: The care plans examined contained evidence in the daily notes that guests personal support is provided in the way they require. Returned survey forms from guests said that this is my 13th stay at Longwood Place and I am delighted with the quality of care that I receive and I am well treated and happy. Health care records were fully completed and staff accompany guests on any medical appointments that are due throughout their stay at Longwood Place. The care files examined contained details of the outcomes of health Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 15 appointments. Survey forms received from health and social care professionals said that staff are helpful, act promptly when health issues arise and are person-centred in their dealings with guests. Other comments on the survey forms were staff follow all guidance and ensure that the information is up to date and liase well with other professionals and that the service is highly thought of. Of the two guests currently staying at Longwood Place one has no prescribed medication and the other is not able to administer their own medication. The home has Essex County Council polices and procedures which were reviewed on various dates, none of which were recent. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests feel their views are listened to and acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: The homes last complaint was received on 28/11/06 and was made to Essex County Council social services department; this was appropriately dealt with under the Essex County Councils procedure and recorded accurately. Relatives surveys returned confirmed that they were aware of how to complain and they said any concerns or queries are dealt with efficently and the home is well run and guests are happy. All of the staff team have had the Protection of Vulnerable Adults training and an update was due to take place on 31/5/07. The home follows the Local Authoritys procedure and staff spoken with showed a good awareness of the steps they should take if they suspected abuse in any form. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests stay in a homely, comfortable, clean and well-maintained environment. EVIDENCE: Guests reside at the home for short periods of time; therefore rooms are pretty basic to enable guests to supply their own belongings, making them feel more comfortable. Pictures and mirrors have been added to the empty rooms to make them feel more homely. The rooms in use on the day of inspection contained the guests’ own personal items and looked and felt homely. The home is well maintained and employs a handyman that visits regularly twice a week to ensure that minor repairs are carried out. The building has a balcony that cannot be used by guests or staff due to it having slight movement; there are appropriate signs warning of this and the Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 18 doors are kept locked. There are other exits that give guests and staff access to the garden area. The manager said that an order had been placed for new garden furniture to enable guests to make full use of the outside facilities. The home is very spacious with large corridors and doors to allow good wheelchair access. On the day of the inspection the home was spotlessly clean and hygienic and a guests survey form said that the house is really comfortable and the facilities always spic and span. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff are qualified, competent and well trained. The homes recruitment practice has minor shortfalls and staff supervision should be more frequent. EVIDENCE: The monthly rota is prepared by the Senior Team Manager (STM) and is compiled on the numbers and needs of the guests. The staff on duty on the day of the inspection corresponded with the names entered on the rota and were more than adequate to meet the needs of the guests. The current guests were out at their day services and staff used this time to update care plans. Staff spoken with had a good knowledge of the current residents medical and social needs. Surveys confirmed that the staff have good communication and teamwork skills and despite their concerns over the lack of resources they feel that the home has a good atmosphere and guests are happy. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 20 Staff are well trained and the staff files examined contained evidence of fire, pova, first aid, moving and handling, food hygiene and service specific subjects such as conflict management, epilepsy, physical intervention and peg training. Staff spoken with confimed that they had undertaken the NVQ 2 in care qualification and another is due to commence on the next available course. The manager and senior team manager holds the A1 NVQ assessors award and should be in a position to assess the two members of staff that have not yet acheived their qualification later this year. Two staff files were examined and included all the requirements of Schedule 2 with the exception of evidence of staff physical and mental fitness. The manager said that Essex County Council carries out Pre-employment medical screening and he felt that this met the requirements. The home must obtain a statement from staff to evidence that they are physically and mentally fit as laid down in Schedule 2 of the Care Homes Regulations. The staff files examined contained evidence that supervision takes place, however this has not been as regular as stated in the homes policy and the National Minimum Standards. The manager said that due to staff changes including the change of manager, formal staff supervision had been carried out less frequently than it should have been. Supervision should be carried out on a regular basis as laid out in the National Minimum Standards. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests benefit from a home that is well run and their views underpin its development, however the provider does not discharge their duty under Regulation 26 of the Care Homes Regulations and visit the home monthly and report on their findings. The health, safety and welfare of guests is promoted and protected. EVIDENCE: The new manager is now in post and is awaiting the registration process; he is a very experienced manager and holds the NVQ level 4 in Care and Management and is an NVQ assessor. Relatives surveys commented on how impressed they were with staff and management and that their relative felt Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 22 welcome and secure. A health care professionals survey said that Longwood Place gives carers peace of mind and the respite they need and that supply outstrips demand and that more respite places are needed. As guests stay at the home for short visits only it is difficult to obtain their views at times, however the home has devised a discharge questionnaire for guests to complete. The manager said that this was the way that quality was reviewed. A discussion took place around the importance of undertaking regular reviews of the quality of care provided by the home and the need to involve all of the relevant people to ensure a balanced outcome. The home holds many compliment cards that confirm that guests have been happy, enjoyed their stay and had a lovely time. Visits by the registered provider under regulation 26 of the Care Homes Regulations have not been made as frequently as they should have been and the manager said that the last one was made on 9/5/07 and he had not yet received a copy of it. The previous provider visit was on 29/9/06. The registered provider must make a visit to the home at least once a month when not in day to day charge and prepare a report of the visit. All safety certificates and checks were in place and up to date. The gas safety check was due for renewal and was carried out the day after the inspection and a copy of the gas safety certificate has been forwarded to the Commission. Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 24 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 YA34 Regulation 19 (B) (I) Schedule 2 Requirement The registered person shall not employ a person to work at the care home unless he has obtained all the documents specified in Schedule 2. This refers to the need to obtain evidence that workers are physically and mentally fit. The registered person shall ensure that persons working at the home are appropriately supervised. The registered provider must visit the home unannounced each month and compile a report, a copy of which must be supplied to the CSCI and to the home. Timescale for action 30/07/07 2. YA36 18 (2) 30/07/07 3. YA39 26 30/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 25 Longwood Place DS0000034031.V339233.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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