Inspection on 13/06/05 for Loran

This inspection was carried out on 13th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Loran 16/07/08

Loran 26/07/07

Loran 31/07/06

Loran 25/01/06

Loran 25/11/04

Loran 29/06/04

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Loran 106a Albert Avenue Anlaby Road Kingston upon Hull HU3 6QU Lead Inspector Janet Lamb Unannounced 13 June 2005 9:00 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 Older People. 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. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Loran Address 106a Albert Avenue Anlaby Road Kingston upon Hull HU3 6QU 01482 355996 01482 571230 NA Mrs Loraine Alison Hill Sandco 1 (t/A Hill Care Services), Cranleigh 135 Princes Avenue, Hull HU5 3HH Ms Brenda Johnson Care Home 35 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) Category(ies) of OP Old Age (35) registration, with number DE(E) Dementia - over 65 (35) of places Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one male service user under 65 years in DE category. Date of last inspection 25/11/04 Brief Description of the Service: The large old house and extension is behind the properties on Albert Avenue, Hull. It accommodates 35 older people who may have dementia, in single and double rooms (22 new singles have en-suite shower and toilet). There is a chair lift and a passenger lift, a large conservatory, a secure garden, car park, and local shops, health services and pubs near by. The home is on a bus route to the city centre. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over six and a half hours and was one of the two inspections the home is required to have in each year. The Inspector looked around the house and talked to residents, the Manager, staff and visitors. Some of the records were inspected. Of the thirty-five residents living in the home five were interviewed and another five were spoken to. There were four care staff, one cook, a kitchen assistant and one cleaner working in the home and one senior care staff and one carer/cleaner were interviewed. The Inspector observed interaction between residents and staff, and between residents. What the service does well: What has improved since the last inspection? The Manager has been making an effort to improve the opportunities for staff to do more training and to look at all of the basic induction and foundation training again. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 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. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6. The Manager and the staff do a good job at finding out what new residents’ needs are, recording them and turning them into a plan of care. Residents are not officially told in writing whether or not their needs can be met. Standard 6 is not applicable to the home. EVIDENCE: Residents’ files contain copies of assessments done by the placing local authority and by the staff in the home. New residents and their families are only verbally informed their needs can be met. Of those residents spoken to three found it difficult to remember the documentation completed before they entered the home, but two of them remembered being asked questions by people from the council. They both remembered seeing the home’s Manager before they became residents. The Manager confirmed she completes a skills assessment of new residents, and offers a trial stay during which residents are further checked and assessed. Emergency admissions are not considered unless the placement is absolutely necessary for the safety of the resident. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10. The Manager and staff do a good job of identifying residents’ health, personal and social needs and record these in a plan of care, which is then checked regularly to make sure those needs are being met. Privacy and dignity are well respected. EVIDENCE: Residents plans of care and the documents used to show they have been reviewed are kept in files. Documents show that regular checks on the meeting of needs are maintained, and evidence of residents’ and their families’ signatures show they are involved in the process, although residents said they were not really interested in the paper work. Residents spoken to felt their needs were well met, but also said they realise the staff have extensive workloads and their time is limited. Residents said staff respected their privacy by allowing time on their own in the bathroom or their bedrooms, by knocking on doors before entering and affording them a key to their room if they request to have one. Staff, when interviewed, confirmed these practices and displayed sound understanding of what good care is and how it is delivered. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Residents have a good quality of life considering the levels of dependency they display, that there are some good opportunities for passing the time of day receiving visitors or taking up pastimes of their own choosing, and that they are encouraged to make decisions about their daily lives. The quality of food provided to residents is good and meets their expectations. EVIDENCE: Residents’ plans of care are held in files and are kept up to date via the reviewing system used by the home. They contain daily diary notes, which show how and when plans of care are carried out and how needs are met. Residents were observed to be making choices about their daily lives: who they sit with, where and when they go, where and when they eat or receive visitors, and how they pass their time. They spoke of being able to choose rising and going to bed times, who helps them with their personal care, and whether or not they join in with the rest of the people in the home. Residents said they liked being taken out, but didn’t really get out enough. They said they enjoyed receiving visitors who were always made welcome. There were many visitors to the home on the day of inspection; relatives, social services staff, contract maintenance staff, etc. and people were observed to be interacting very well. One lady visits the home daily and takes lunch Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 11 with her husband, while there is a facility for relatives and friends from out of town to stay overnight: a small flat on the upper floor of the old house. The food presented to the residents on the day of the inspection was observed to be appetising and nourishing, and those asked said they had enjoyed lunch. Residents interviewed said they thought the food in the home was good, that if something else would be offered if the meal was not liked or wanted, and that they would be comfortable expressing grumbles about food. They also expressed a strong wish to have bacon and eggs on Sundays, because although they are told they can have it, it never seems to be offered. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The Manager and staff handle complaints from residents and relatives well, investigating what happened and giving clear explanations and apologies if necessary. Residents and relatives are confident in making their complaints known at the earliest stage to prevent issues escalating. Residents have a good level of protection from abuse. EVIDENCE: Those residents spoken to felt they could approach the Manager or staff any time about concerns or complaints, but that they had very little cause to do so. They did not know the written procedure for making a complaint but said they knew who to talk to. There is a written complaint procedure on display in the entrance hall and one in the staff policy manual. The Manager explained she follows the procedure and provides written feedback following a complaint investigation. Only one complaint had been received in the last two years, but this was from a visitor on behalf of a resident she had observed and concerning privacy, but the resident had acted entirely independently. There was a written record of the complaint and its outcome. Staff, when interviewed, displayed confidence in knowing how to take details from a complainant and to either handle the recording of them or pass them on to the Manager. The Manager has done the vulnerable adults awareness training presented by the East Riding of Yorkshire Council and an elder abuse course given by a company called Primary Care. Staff have been informed of the contents of the training and of the home’s policy on abuse of residents. They are aware of the Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 13 abuse and whistle blowing policies in place and know what constitutes abuse. Some staff have completed, or are doing NVQ level 2 and have covered abuse, vulnerability and discrimination. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 and 26. Residents use their rooms and the communal areas in the ways which best suit them, and the staff do a good job of keeping the home clean and comfortable. EVIDENCE: A tour of the building revealed that residents’ rooms are kept to a good standard of cleanliness and that the positioning of furniture and belongings is as residents’ requests and to suit their needs. Discussion with several residents revealed they are satisfied with the rooms they occupy and value not having to share. Those residents in the extension are extremely happy with the en-suite facilities, though information from the Manager revealed that not many of them use the shower. Discussion with the staff revealed that residents’ needs vary widely from prompting them to maintain personal care to requiring a lot of help, and although there is overall a high level of assistance needed staff manage to keep the home clean, fresh and comfortable by attending to residents promptly. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The Manager employs a good range of staff in terms of ages and skills, and offers good opportunities to take up training and skill development. Recruitment procedures are robust and offer residents satisfactory protection. Staff are competent to do their job and are overall well trained. EVIDENCE: Discussion with the Manager and staff highlighted the good opportunities for training and development, and the walls in the Manager’s office are decorated with certificates and awards of achievement. Staff have training files containing details of training they have done and copies of certificates. Courses include all mandatory care training plus others on such as dementia, diabetes, computer use etc. Staff have a range of experience in care work, some having been employed at Loran for many years and others quite new to the profession. Details of this are found in their personal files. Details showing close adherence to the recruitment process are also found in files. There are times when staff do not have passports or photo type driving licences and no birth certificates. Other ways of proving identity should be found. All staff complete a CRB check before commencement in their post. The Manager holds evidence of the checks being done. The Manager confirmed the recruitment process and also that staff supervision is done on a regular basis and an appraisal system is in place. Staff are aware of the whistle blowing policy and cover abuse in their NVQ training. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 only. The Manager and staff operate and run the home in the best interests of the residents, and do a good job. Residents are satisfied with the care they receive and understand the staff do the best they can. EVIDENCE: Residents spoken to were complimentary of the staff assistance they receive, which they feel is individual to their personal needs. They understand the responsibilities of staff and realise there are time restraints, and they are generally patient when making their needs known. Residents are non the less still satisfied with the service of care they receive and described good relationships with each other and the staff group. The Manager and staff have a very good understanding of residents’ personalities and encourage independence and self-determination. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x x Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 18 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 NA Regulation Requirement Timescale for action 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. Refer to Standard OP28 OP31 Good Practice Recommendations Registered provider should ensure 50 of care staff achieves NVQ level 2 by the end of 2005 Manager should achieve NVQ Level 4 Managers Award by the end of 2005. Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle East Yorkshire HU13 0QF 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 Loran J54_s861_Loran_v229654_130605_Stage 4.doc Version 1.30 Page 20 - 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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