Inspection on 23/01/06 for Longwood Place

This inspection was carried out on 23rd January 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 6 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 15/05/06

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 23rd January 2006 12:00 Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 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.V265458.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V265458.R01.S.doc Version 5.0 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) Essex County Council Mrs Melaine Jane Jameson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 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. 6th June 2005 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 and activities room. The home is situated in the Langdon Hills area of Basildon and looks out on to attractive green areas of landscape. The home is 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.V265458.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection too place on the 23/01/06. Records and documents were looked at, including the previous requirements and recommendations from the last inspection. Time was spent with three young adults two who were able to communicate taking notes of their daily routine in the home. Two staff members, the short breaks manager and registered manager were all spoken to during inspection and the registered provider spoken to following inspection. All were most helpful during inspection process and this was greatly appreciated. What the service does well: What has improved since the last inspection? The registered manager has produced a quality assurance and monitoring system to help improve the service. The homes statement of purpose has been updated and includes staff changes and training. Care plans now include likes; dislikes and social histories to give staff better understanding of guests. A nutrition nurse has helped improve the quality of food in the home The home has sufficient first aid boxes and offers guests the opportunity to visit church during their stay. Guests were currently involved with one staffs project in planning activities. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 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. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 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.V265458.R01.S.doc Version 5.0 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): 1,2. The home has information for prospective guests to make informed decisions about the home with individual aspirations and needs assessed prior to admission. EVIDENCE: The registered manager has updated the homes statement of purpose to include staff changes and training, assisting guests and significant others to make an informed choice about the homes suitability. The home now records the likes, dislikes and past social history of guests to enable staff understand guest needs. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 9 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): EVIDENCE: Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 10 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): 12,13,14.17 Guest take part in limited leisure activities and transport is not always available to take residents to local community activities. The home provides healthy and nutritious food. EVIDENCE: Activities in the home are limited due to difficulties arranging trips out with only short stay guest and the homes lack of transport. During inspection a trainee social worker working in the home had identified the homes lack of leisure pursuits and was trying to engage residents in seeking their views regarding activities but her project was not complete and the social worker was due to leave the home in March 2006. At inspection residents stated they visited the local pub up the road but did not go out much. The home does not provide transport and the homes budget for taxis had been cut. One resident stated “taxis are unreliable and sometimes do not come to collect me for college.” Staff appeared to arrange activities at the home on a daily basis. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 11 Guests stated how they enjoyed the food in the home and the registered manager had reviewed menus, which have been improved. The home had employed a nutritional nurse for advice and two chefs, who make homemade soups and nutritious meals for residents. Residents spoken to stated how they enjoyed the food in the home and offered alternatives if they do not like what is on the menu each day. One resident stated, “ I tend to eat more than I should as its too nice sometimes”. Records confirmed guest diet intake is now recorded. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 12 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): 20 The home has an appropriate medication and administration procedures to help protect guests. EVIDENCE: Mediation examined was correct in date, stored appropriately and staff follow correct procedures for administration and disposal. Staff signatures were on file for those who are trained to administer medication and the homes registered manager regularly audits medication stock although this was not evidenced. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 13 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 The home does consult regularly with guests and protects them from abuse, neglect and self-harm. EVIDENCE: The registered manager does not hold regular guest meetings as guest are only accommodated for short periods. Guests and their relatives are invited regularly to the homes social evening to give their views and opinions. The registered manager sends guest out discharge questionnaires to identify areas of need improve the service. During inspection one resident told the inspector she would like extra pillows and a mirror in her bedroom. The guest was seen to approach the registered manager with her request who said she would attend to the guest needs. Staff receive trained in protection of vulnerable adults and whistle blowing and were aware of the signs of abuse and the procedures for reporting abuse. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 14 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): 25,27,30 The home is clean and hygienic but guest rooms did not suit all guest needs and one of the homes bathrooms does not provide sufficient privacy. The homes gardens are not maintained. EVIDENCE: The home employs an excellent cleaner who works in the home and at inspection the home was very clean, bright and welcoming. The home has a very nice sensory room which guest enjoy. The inspector was given a tour of one guest bedroom who stated she would like a mirror in her bedroom above the sink and more pictures on the wall to make it more homely. It was noted the room temperature was cool, her quilt cover was not very thick and she had only one pillow. The guest agreed the room was cold and she would prefer two pillows. The inspector noted all guest bedrooms only had one pillow but other rooms were adequately heated. It was noted one of the guest bathrooms still not to have a shower curtain to give privacy. This was a previous inspection requirement. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 15 The homes rear garden had not been maintained at inspection and the registered manager stated this was due to lack of funding. The inspector asked the registered manager about the lack of screening and was informed a requisition had been submitted for the work following the last inspection but she did not have authority to agree to the work herself and was informed my senior managers the work would have to wait. The inspector asked for contact details of the registered provider to request priority for the work to be given. Following inspection the registered provider confirmed the work would be given priority. The registered manager stated she would attend to the room temperatures in the home and offered the guest an alternative bedroom. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 16 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 employs competent and qualified staff but residents needs are not always met in respect of leisure activities and days out due to lack of available transport and staffing. EVIDENCE: The home employs three staff members to work during the day and two staff at night. The home has 1.5-carer vacancy for the day shift and 0.5 vacancies for nighttime. The registered manager stated they now use more agency staff as staffing budgets have been cut but try to use the same agency staff to promote continuity. Agency files examined confirmed appropriate checks are made but two career breaks were seen in one agency file without explanation. The registered manager was advised to seek clarity regarding the gaps from the appropriate employment agency. The home had received one complaint since the last inspection regarding lack of personal care to one relative’s daughter accommodated. It was also noted that the home accommodated seven residents on the day of inspection, five who were being discharged that day. The staffing levels were not flexible to meet all guest individual needs in respect of leisure pursuits and transporting residents to day centres and community activities. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 17 One staff member stated we do not go out very much as there is insufficient staff to transport guests so we are trying to create extra activities in the home. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 18 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, 38, 39,42 The home is run well by a registered manager who has constraints placed on her by senior management regarding funding and decision making in the home. Regulation 26 visits were not detailed regarding care or completed on a regular basis. The home protects the health and safety of guest accommodated. EVIDENCE: The registered manager is qualified and experienced to run the home and appears approachable and committed to the service. The registered manager had submitted a suitable quality assurance and monitoring service to progress the service but regulation 26 visits from the registered provider where lacking in detail and not always corresponding to the standards of care and choice. Only 6 regulation visits had been completed in the past 12 months and it was noted at inspection that budget cuts had affected the service in respect of staffing, choice, transportation, privacy and the homes premises. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 19 The registered manager does not meet regularly with the registered provider and lacks support and autonomy to make relevant financial decisions in the home. The home has recently had visits from local youths and has requested extra security features to be installed in the home. Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 2 X 2 X X 4 LIFESTYLES Standard No Score 11 X 12 2 13 3 14 2 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longwood Place Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 2 3 X x 3 2 DS0000034031.V265458.R01.S.doc Version 5.0 Page 21 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. Plus available transport and staff available to take guests out. The home must provide guests with bedrooms which meet their individual needs. The registered provider should visit the home monthly unannounced and complete a report to be submitted to the CSCI in relation to guest care and choice. Screening must be provided in guests shower rooms. Timescale not met 01/07/05 The home must employ sufficient staff to meet the changing needs of guests. The registered manager must have authority to promote and make proper provision for the health and welfare of guests. This refers to funding for staffing, the premises, activities and transport. Timescale for action 01/03/06 2 3 YA25 YA39 23 2 (f) 26 01/04/06 01/03/06 3. 4 YA27 YA35 YA42 23 2 (e) 18.1 (a) 12 01/02/06 01/04/06 01/04/06 5 Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 22 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 YA20 YA24 Good Practice Recommendations Transport should be available to take guest out. An activity plan with the inclusion of guests should be complied to enable guest to go out more. The homes manager should keep a record of regular audits of medication stocks. The home should provide extra bedding, pictures and mirrors in guest bedrooms to make it more homely. The home should employ a suitable handyman to carry out minor maintenance in the home and garden. The home should provide garden furniture for guests. The home should maintain the homes garden. The registered manager should receive regular supported and supervision. 5 6 7 YA28 YA28 YA38 Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Longwood Place DS0000034031.V265458.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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