Inspection on 15/05/06 for Longwood Place

This inspection was carried out on 15th May 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longwood Place 10/05/07

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 Patricia Stanton Unannounced Inspection 15th May 2006 09:00 Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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.V293399.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 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.V293399.R01.S.doc Version 5.1 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 Mrs Melaine Jane Jameson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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. 23rd January 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. Longwood Place provides short term/respite care placements only. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection too place on the 15/05/06. Records and documents were looked at, including the previous requirements and recommendations from the last inspection. As part of the inspection process pre inspection questionnaires were sent out to the home but no feedback was received at the time of publishing the report. Time was spent in the lounge with four young adult guests taking note of their daily routine in the home. Four staff members, three guest, the assistant manager and registered manager were all spoken to during inspection. The inspector would like to thank the guest, staff and registered manager for their time and cooperation. What the service does well: What has improved since the last inspection? What they could do better: Essex could provide funding for transporting residents to activities. The home could employ a suitable handyman to maintain the home and garden and provide garden furniture for guests. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 6 Regulation 26 visits could be completed monthly and outcomes followed up with a copy sent directly to the home and CSCI. Staff morale could be improved if staff were given appropriate funding to take residents out. The home could benefit from an administration person to help organise the homes offices enabling the registered manager to concentrate on progressing the service. 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. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Guest individual aspirations are not always met in relation to recreation. Quality in this outcome area is poor. EVIDENCE: Due to restriction of funding from Essex, the home has had to make cutbacks in providing transport, activities and visits for guest accommodated. Guest now have to pay for all transport with the exception of medical appointments as funding has been withdrawn. Staff are not able to take residents out in wheelchairs or to the local pub/shops by foot due to the health and safety restrictions as the home is located at the bottom of a very steep heel and staff are unable to push residents up the hill. The home does not have a mini bus to take guest out and staff have been advised not to transport guest in their own cars as mileage has been withdrawn. One staff member stated, “We are supposed to be promoting guests independence to assist them integrate into the community but we are not given the resources to do so, this gives mixed messages”. Another staff member said if we take guest to the pub we are not even funded to buy them or ourselves even one drink”. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 9 The registered manager had recently notified guests and relatives that funding was no longer available for guest transport and requested each guest bring a minimum of £20 in for assisting in taxi costs. However not all guests have sufficient money making equality difficult. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Care plans reflect guest changing needs and personal goals but these are limited along with guests taking risks as part of an independent lifestyle due to lack of available funding. Quality in this outcome area is adequate. EVIDENCE: Care plans examined included details of all relevant essential information with regard to health, welfare, social and emotional needs and included guests likes and dislikes. Examined care plans and risk assessments were reviewed regularly with appropriate details to assist staff in delivering care. It was noted no activity plan was included in these plans. At the last inspection one staff member was trying to introduce activity plans but Essex had abandoned funding for trips out. However at inspection some residents were attending day centres and work/training centres but no evidence was seen of residents socialising in the community. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 11 Risk assessments examined were personalised and detailed instructing staff on how to keep residents safe. One guest with cerebral palsy had an appropriate risk assessment for manual handling and swallowing to help make him as independent as possible with support from staff. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,16. Residents have limited access to the community and leisure activities but access recreation for personal development. Quality in this outcome area is adequate. EVIDENCE: Residents may continue to attend day centres as arranged by the placing authorities during their stay at Longwood Place, as this is agreed and funded by the authority but guest have limited opportunities for socialising and leisure activities outside the home. Staff entertain residents in the home and arrange activities and games in house as the home has a game and sensory room, which residents enjoy and residents appeared happy interacting with each other and staff at inspection. One resident gave the inspector signs to reflect he was happy and other residents appeared in good spirits. The communication between staff and guest was mutually positive and respectful. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 13 Staff appeared to have a good understanding of resident’s needs and their non-verbal communication needs. Most guests at Longwood Place are young under the age of 40 years and enjoy social interaction and contact with others. During inspection one resident watched TV while others went to relevant day centres. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, Guest receive personal support and appropriate health care. Quality in this outcome area is good. EVIDENCE: Residents were clean and well presented at inspection. Staff were observed to assist residents with bathing and washing whilst maintaining their independence as much as possible. Care plans gave details of individuals need for personal care and instruction for staff. Guest attend appropriate health care appointments with support and one guest at inspection went with a staff member to see her local general practitioner by taxi. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents are consulted and protected from abuse and neglect. Quality in this outcome area is good. EVIDENCE: As guest are only in the home for short periods it is difficult to have regular meetings to seek their views and opinions, however the registered manager speaks one to one with residents, the staff and sends out discharge questionnaires to obtain feedback. Only two recent questionnaires were seen and one stated, “Would like to go out even if it’s to the local shops or for a walk”. The registered manager also arranges parent forums to seek the views and opinions of relatives and residents. No minutes were seen of the meeting but the registered manager stated, “details of budget cuts were discussed with parents at the last meeting.” It was noted minutes of some meetings were not yet typed as most administration work falls on the registered manager or staff taking them away from care. Staff all have training in protection of vulnerable adults and staff spoken to at inspection were conversant with the signs of abuse and the procedures for reporting abuse. The home has received no complaints in the last year. Records of incidents and accidents were examined and seven incidents had occurred in the home since the last inspection all investigated appropriately but some incidents did not give details of date of incident or a signature of the member of staff completing the incident. Follow up action was not completed. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 16 The home had helped provide a place of safety to one resident who was very grateful to the staff in the home. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,29,30. The home is clean and hygienic decorated to a good standard and welcoming but could be more homely. Communal areas meet the needs of guests and specialised equipment is available to maximise independence. Quality in this outcome area is good. EVIDENCE: The home employs an excellent cleaner who keeps the home spotless. The home does not have a handy man to maintain the homes premises and gardens. Pictures purchased last year had not been hung up in the home and the bedrooms remain sparse. This may be due to the fact residents’ only stay for short periods so do not bring many items into the home to personalise their rooms. Recommendations from the last inspection regarding providing mirrors in guest bedrooms had not been met and one staff member stated this was due to the risk of guests breaking the glass. However plastic mirrors could be used as seen in the homes staff toilet. The homes garden has not been maintained and no garden furniture purchased for guest to make it more homely. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 18 The registered manager stated the home has been advised there is no funding for the items. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35. The home provides competent qualified staff to meet the needs of guests accommodated. Quality in this outcome area is good. EVIDENCE: At inspection the staff rota matched the numbers of staff on duty and appeared to meet the needs of guests. It was noted residents were very relaxed with the core staff team on duty who had a good knowledge of residents’ medical conditions. The registered manager ensures staff have appropriate training and staff have undertaken training in epilepsy and gastronomy as part of meeting accommodated guest needs. The home has two vacancies, which have been frozen due to lack of funding by Essex, but the home is able to employ regular agency staff when required. However, agency staff member do not have such a good understanding of the regular guest needs. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. An experienced registered manager and her deputy manager who try to ensure residents’ wishes are met run the home. Quality in this outcome area is good. EVIDENCE: The registered manager and her deputy run the home very well and try to meet the needs of guest and the staff. However this has been difficult due to budget cuts from Essex local authority. Staff are able to approach the manager and meet regularly to give their views and opinions. Staff meetings are held regularly and minutes examined confirmed staff have concerns about the future of the home. Staff spoken to appeared happy working in the home but frustrated by cuts as they feel this restricts guests’ freedom and choice. One staff member stated we can only now take residents out if they have money and if they don’t they don’t go out. Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 21 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 X 2 2 3 X 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 2 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 3 12 2 13 2 14 2 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X 2 X X 3 x Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 22 NO Are there any outstanding requirements from the last inspection? 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 YA14 Regulation 16(2)m n Requirement Guest must have access to a range of activities both in and outside the home and transport to enable staff to take all guests out. Timescale for action not met 01/03/06 This is a repeat requirement. The home must provide guests with bedrooms which meet their individual needs. This refers to making the rooms more homely. Timescale for action not met 01/04/06. This is a repeat requirement. The registered provider should visit the home each month unannounced to complete a report, which should be sent directly to the home and CSCI in relation to guest care and choice. Evidence should be seen of follow up action. Timescale for action not met. 01/03/06. This is a repeat requirement. The home must employ sufficient staff to meet the changing needs of guests. This refers to ensuring vacancies are fulfilled to help DS0000034031.V293399.R01.S.doc Timescale for action 01/06/06 2 YA25 23 2 (f) 01/06/06 3 YA39 26 01/06/06 4 YA35 18.1 (a) 01/06/06 Longwood Place Version 5.1 Page 23 reduce the number of agency staff required. Timescale for action not met 01/04/06. This is a repeat requirement. 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 2 3 4 Refer to Standard YA12 YA14 YA22 YA24 Good Practice Recommendations Transport should be provided to take guest out. An activity plan with the inclusion of guests should be complied to enable guest to go out more. This is a repeat recommendation. The registered manager should ensure incidents are signed dated and evidence the follow up action to prevent further incidents. The home should provide extra bedding, pictures and mirrors in guest bedrooms to make it more homely and employ a suitable handyman to carry out the home and garden maintenance. This is a repeat recommendation. Plastic mirrors could be provided for residents’ bedrooms. The home should provide garden furniture for guests. This is a repeat recommendation 5 6 YA25 YA28 Longwood Place DS0000034031.V293399.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. 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