Inspection on 06/06/05 for Longwood Place

This inspection was carried out on 6th June 2005.

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 9 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 23/01/06

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 6/6/05 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 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 Stationary 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 I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longwood Place Address 110 High Street, Langdon Hills, Basildon, Essex SS16 6HY. Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01268 411414 01268 417649 Essex County Council Mrs Melanie Jameson Learning Disability 8 Category(ies) of Adult Learning Disability registration, with number of places Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: care Home, 8 places, adult learning disability. Date of last inspection 15/3/05 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. It has eight single bedrooms, each with it’s own wash basin facilities and toilet. There are bathrooms on each floor. Wheelchair access is possible on both levels and this is aided by a lift. The gardens are mainly brick paving and landscaped and there are 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. It 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 I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection took place on the 6/6/2005. During the visit one resident only was in the home as other guests were out at day centres or work placements. One guest was spoken to, three staff members and the manager. The manager gave the inspector a tour of the premises and records and documents were looked at. The inspector looked at 32 standards. Time was spent in the lounge briefly chatting and taking note of the one guest in the home. The staff and the managers on duty were most helpful, and this was greatly appreciated. The inspector would like to take this opportunity to thank the guest, staff and registered manager for their hospitality and cooperation during the home’s inspection. What the service does well: What has improved since the last inspection? The home has developed the home’s contract in line with the national minimum standards. The now home includes photos of guests in care plans. An infringement of rights report has been developed for guests and a quality assurance and monitoring system has been introduced to enable the home to be monitored. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 6 A record of nutritional/food intake is kept for guests to monitor diet intake. The fire drill records are maintained; in date and staff fire training is now arranged to ensure fire safety requirements are met. The home displays a registered certificate in the home. A key worker system is gradually being introduced for guests to enhance support and continuity of care for guests and care plans have gradually been updated to include guest individual needs. The home has employed a new support manager to ensure cover in the absence of the registered manager. 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 I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 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 standard(s) 5. Guests are given a contract of statement of terms and conditions, which include all the relevant information required. EVIDENCE: The contract examined at inspection was relevant to Longwood Place only omitting minor details regarding termination of contract, which were not relevant in this home as a charge is only made for nights guest stay. The registered manager was advised regarding minor changes. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9,10. Guests’ personal care plans are detailed and informative reflecting changing needs and personal goals but omit guest dislikes and guest social histories. The home ensures guests have input into decisions about their lives with assistance in all aspect of life in the home. Guests’ are able to take risks as part of their independence. EVIDENCE: Examined care plans were found to be very detailed and informative giving staff a good insight and understanding of guests. The plans reflected the individual needs of the guests and were easy to read with clear instructions to staff. However no details of dislikes were seen on file regarding food or activities or no social history was included in the plan. All plans have photographs of guests. The home does not arrange regular guest meetings but sends all residents a questionnaire to complete following discharge. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 10 The questionnaires reflected changes made in the home by the manager to improve care but many comments were about wanting to go out more for a drive, shopping, bingo or the pub. It was noted in care plans guest did not go out very much in the evenings and weekends and no activity plan was in place for guest. Care plans included appropriate risk assessments to enable residents to be as independent as possible. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 11,12,14,15,17. Guest have opportunities for personal development and take part in activities which are age, peer and culturally appropriate in the home. Daily routines are flexible and staff assist guests in pursuing interests but lack of transportation and staff can result in guest not being taken out. Guests have appropriate personal family and friends’ contacts and the home provides all dietary needs for guests’ requirements. EVIDENCE: Care plans evidenced residents participate in regular daily development including attending work placements, educational courses and day centres. At inspection the home accommodated 6 guests and five of the guests were out at school, work or day centres’. The care plans examined confirmed guests participate in a variety of arranged events for personal development every Monday to Friday day time but no activity programme was in place for leisure pursuits for evenings and weekends. Staff and the manager confirmed activities are arranged on a daily basis according to numbers of staff on duty and availability transport. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 12 Care plans and staff spoken confirmed going out was not regular for guests due to lack of staff and transport. At inspection no relatives of friends visited the home but the manager confirmed visitors were welcome at any times. As the home provides only respite care guests’ and family usually are away on holiday. The home is currently developing a policy for guests regarding sexual relationships while living in the home. The menus examined at inspection and the meals offered in the home appeared nutritious offering both choice and variety, meetings guests needs. The kitchen was stocked with good quality food and healthy snacks. The home employs a cook and details of what guest eat are recorded in both daily records and diet sheets but they were no details of how much food was eaten or alternative offered when guest refuse to eat. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18,19, Guests receive assistance with personal physical and emotional health care as required but privacy is not always maintained at all times. The home does not provide therapeutic care from outside agencies because guests are only accommodated for a short time. EVIDENCE: Files confirmed staff assist guests with personal care when required encouraging independence when possible. Guest have access to adapted equipment and wheel chairs to aid mobility and the home provided adequate showers and bathrooms for guests including a shower bed for less able guests. One guest commented when I come to the home “ I feel pampered”. Another guest stated the “I am looked after in a friendly way”. However other comments found stated, “I do not like people walking into my room uninvited” and “I do not like other people staying here coming into my room”. It was noted the disabled shower room did not have any screening for privacy and the manager stated this was on order. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22,23 Guests and their significant other are able to complain and give their views in a variety of ways. Guests are protected by the homes protection of vulnerable adults policy and procedures but staff need further training in whistle blowing. No concerns were found in records of the homes incident, accident, physical restraint or complaint records. EVIDENCE: Guests are able to give their views in one to one key working sessions, through guest and relatives forums, independent advocates and questionnaires. The home had not received any complaints since the last inspection and guest comments in questionnaires were all very positive regarding staff working in the home. The home has appropriate policies on adult protection and staff spoken to were aware of the signs of abuse and procedures for reporting abuse but not the whistle blowing policy and procedures and the CSCI involvement in complaints. The home has only one incident in the home involving injury to staff member, one incident involving injury to a guest and one health and safety incident. No physical restraints were recorded since the last inspection. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24,25.26.27,28,29,30. The home is very clean, hygienic and safe. Guests’ bedrooms were bright clean and modern suitable to meet the needs of guests lifestyles. The home has adequate bathrooms and toilets to meet guest needs and provides specialist equipment to maximise independence. EVIDENCE: The home appeared very clean and bright. Guest bedrooms were bright and furnished with good quality furniture and soft furnishing. Each guest has a locked space to store valuables. The home has adequate communal space, which is decorated, to a high standard but the home does not have many pictures on the walls to make it more homely. The home has a very nice sensory room and activities room for residents that are both equipped to assist guest relax and feel at home. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 16 The home has a very large interesting garden, which is in need of some maintenance, but the patio and veranda’s were sufficient for guest to enjoy outdoor activities. It was noted there was no BBQ, table or chairs in the garden for staff and guests’ to use. The home has recently purchased new carpets for the hall and lounge, which has made the home look brighter, and the manager stated carpets were on order for bedrooms and the hall. The home had also purchased two new laptops and a computer for guests to use whilst in the home. Guest are to be given personal discs to record reviews, which could be used as future reference. This is good practice The homes kitchen was bright clean and each communal area included a kitchen diner for guest and staff to use to prepare snacks and drinks, which made the area very homely. The homes activity room was stocked with a variety of games, pool table and various other leisure activity facilities for guests’ to use. The home provides specialist equipment for disabled residents. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,36 The homes staff were supportive to guests and in adequate numbers to meet guests’ needs. The homes recruitment policy was robust for permanent staff but agency staff did not have appropriate references. The staff in the home are supported by effective, supportive management and staff are able to view their opinions regarding the home in meetings. EVIDENCE: The staff on duty were supportive to the guest accommodated in the home at inspection and it was noted one to one care was ongoing throughout the day as required for a guest as per care plan. The home keeps all recruitment staff records at County Hall available for inspection, with copies of checks made on staff in the home. Agency staff files were examined and one agency used did not submit appropriate reference checks for staff omitted names, signatures and confirmation of the appropriate referee. The manager was advised to request this information from the agency as soon as possible. Another agency used by the home had all appropriate checks, identification, training and references as required for this standard. Staff confirmed they received appropriate supervision and stated all the managers are were approachable, helpful, and supportive. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 18 Staff stated and minutes confirmed staff are able to give their views and opinions regarding care in the home and in staff meeting held regularly. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42,43. The home is well run by a competent manager and guest benefit from good ethos and leadership management. Guest views are carried forward as part of the review of the service to enable the home to progress. All confidential records are stored appropriately as required under the data protection act 1998. The registered manager has a adequate qualifications and skills to manage the home in a proficient manner. EVIDENCE: The manager at inspection appeared approachable, kind and caring to the guest and staff. The manager has used guest questionnaires and twice annual meetings with guest and relatives to progress the service and make improvements in the home. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 20 One staff member had not read the whistle blowing policy and was unaware of the whistle blowing policy. Staff did not confirm they have read the homes policies and procedures and fire extinguishers were out of date. The home did not have sufficient first aid boxes or consent from guest significant others’ for all staff to administer homely remedies and first aid. The home has two first aid boxes but not a spare box to use for staff to use to take out when taking guests’ out. The fire extinguishers examined were not serviced in April 2005 when due. Guests are protected by the homes security and logbook for all visitors to the home. Records were stored in a locked office in the home and handled with sensitivity during inspection. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 2 2 3 x 2 Standard No 31 32 33 34 35 36 Score x x 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longwood Place Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 3 I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 22 yes 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 YA6 Regulation 15 Requirement Care plans must include guests likes, dislikes and past social history to ensure their needs are met. Guest opinions regarding going out must be considered when planning activities. Transport should be provided to take guest out. A record must be kept of food eaten with amounts, alternatives and meals refused by guests. Guest privacy must be respected while receiving personal care. All staff must receive taining in the whistle blowing policy. Screening must be provided in guests shower rooms. A quality assurance and monitoring report should be completed gathering information regarding the service from relatives, guest and significant others and sumbitted to the CSCI. Staff recruitment checks must be robust for agency staff emplyed. Timescale for action 1/7/05 2. 3. 4. 5. 6. 7. 8. YA8 YA13 YA17 YA18 YA23 YA27 YA39 14.5 13 17 18.3 13 18.3 24 1/7/05 1/7/05 1/7/05 1/7/05 1/8/05 1/7/05 1/12/05 9. YA34 18 (4) b 1/7/05 Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 23 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. 5. 6. Refer to Standard YA14 YA24 YA28 YA28 YA42 Good Practice Recommendations An activity plan with the inclusion of guests should be complied for evening and weekends to enable them to go out regularly. The home should provide pictures in the home to make it more homely. The home should provide garden furniture for guests. The home should maintain the homes garden. The home should have adequate frist aid boxes to enable staff to take one with guests on trips out. Longwood Place I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea 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 I06 S34031Longwood Place V231705 060605 Stage 4.doc Version 1.30 Page 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. 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