Inspection on 05/01/06 for Loriner Place (49)

This inspection was carried out on 5th 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 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

Loriner Place (49) 22/05/07

Loriner Place (49) 21/10/05

Loriner Place (49) 08/02/05

Loriner Place (49) 17/01/05

Loriner Place (49) 10/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Loriner Place (49) 49 Loriner Place Downs Barn Milton Keynes Bucks MK14 7PU Lead Inspector Gill Gentles Unannounced Inspection 5th January 2006 11.45 Loriner Place (49) DS0000015062.V274454.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 Loriner Place (49) DS0000015062.V274454.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. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Loriner Place (49) Address 49 Loriner Place Downs Barn Milton Keynes Bucks MK14 7PU 01908 201985 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) admin@fremantletrust.org The Fremantle Trust Jackie Esmond Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 7 people with a learning disability with up to 2 people over 65 years of age. 21st October 2005 Date of last inspection Brief Description of the Service: Loriner Place is a home registered for seven adults with a Learning Disability. The home was originally built as two separate semi-detached homes and has been converted into one dwelling. Loriner Place is situated on a residential estate in Milton Keynes within easy access of central Milton Keynes, which is approximately one mile away. Milton Keynes has good public transport networks and residents have access to all modes of transport. The home has its own vehicle, which is utilised regularly. Residents also use taxis and buses, as and when required. The home is equipped with all the facilities to meet residents needs, especially those who are less physically able. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Gill Gentles and Mrs Nichola Cahill carried out this inspection unannounced on the 5th January 2006. The manager not was in situ at the time of the visit, however arrived about an hour after commencement of the inspection following a telephone call from a staff member to announce our visit. The inspectors arrived at the home at 11:45 a.m. and left at 14:45 p.m. during this time a range of documents were viewed, residents were spoken with and a tour of the building took place. The manager was asked to come in early to make personnel records available for examination. What the service does well: The home has a Statement of Purpose and Service Users Guide in place (currently being reviewed) to ensure that the current and prospective residents have an understanding of the service available to them. The manager ensures a thorough assessment takes place taking into account resident compatibility to ensure smooth transitions with minimum disruption. All residents have contracts/terms and conditions to ensure they understand the service they should be receiving. Clear and concise individual personal plans are in place, written with the residents to ensure individuals needs are being met. Appropriate risk assessments are in place to ensure residents lead independent lifestyles with reduced risk. All documentation relating to individuals are handled appropriately ensuring residents know their confidences are maintained. Residents are supported and encouraged to have the opportunities for personal development, to take part in appropriate activities, to become part of the local community and engage in appropriate activities. Residents are supported to become part of the local community. The staff team encourages and supports residents to maintain contact with family and friends in and outside the home. Residents receive personal support in the way they prefer. There is clear written guidance in place to ensure that residents know how to make a comment about the service they receive Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 6 The home is appropriately designed and located and generally well maintained so as to provide suitably equipped, decorated and furnished accommodation. The staff understand their roles and responsibilities, ensuring that residents care and support needs are appropriately and effectively met. The home operates a recruitment procedure that ensures all staff are appropriately vetted to ensure residents are safe from abuse. Documentary evidence shows that staff are adequately and appropriately trained. The registered manager is qualified and competent to manage the home and meet resident’s needs. Appropriate documentation in relation to health and safety checks and safe working practices are in place. What has improved since the last inspection? 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. Loriner Place (49) DS0000015062.V274454.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 Loriner Place (49) DS0000015062.V274454.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): 1,2,5 The home has a Statement of Purpose and Service Users Guide in place (currently being reviewed) to ensure that the current and prospective residents have an understanding of the service available to them. The manager ensures a thorough assessment takes place, taking into account resident compatibility to ensure smooth transitions with minimum disruption. All residents have contracts/terms and conditions to ensure they understand the service they should be receiving. EVIDENCE: The manager is in the process of reviewing the Statement of Purpose and Service Users Guide to ensure that the current and prospective residents have an understanding of the service available to them. The information is clear, concise and easy to read. The manager has ensured that there is also a very good pictorial version to ensure all residents can comprehend it. The home has not had new residents since the previous inspection in October 2005. At the time of this visit the home does have one vacancy, which is being marketed with the local authority. The manager ensures a thorough assessment takes place with the involvement of existing residents, whose opinions are taken into account when assessing compatibility. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 9 All residents have a signed copy of their contract, which is maintained in their individual files stored in their own rooms. Contracts confirm the terms and conditions of living in the home, breach of contracts, individual and the organisations responsibilities. Fees are incorporated to ensure all residents know what they are paying and the service they receive. Loriner Place (49) DS0000015062.V274454.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, 7, 8, 9, 10 Clear and concise individual personal plans are in place, written with the residents to ensure individual’s needs are being met. Appropriate risk assessments are in place to ensure residents lead independent lifestyles with reduced risk. All documentation relating to individuals are handled appropriately ensuring residents know their confidences are maintained. EVIDENCE: Individual personal plans are clearly written with the residents themselves; this is clearly evident, as residents have signed all the written information. All plans include very detailed information such as: • A photograph, • Pen picture • Essential information • Personal information e.g. terminal illness and funeral wishes. • Very detailed health information • Personal care preferences, likes and dislikes Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 11 • • • • Activity sheets and hobbies Social skills Financial issues Physical health Residents have a separate file which is kept by them in their rooms, this file contains; • Statement of Purpose • Service Users Guide • Residents charter • Feedback forms • Contract • Pictorial information about “who I am, what I like” The information contained in these files was to a high standard, complete involvement of each individual was clear and the files read highlighted personal choice, participation and decision-making. It is also acknowledged that there is an enormous amount of working being carried out on Person Centred Care Plans, which is in its early stage and will be reflected in the next inspection report. Risk assessments were in place for each individual with a number due for reviewing within the next few weeks. All were found to be clear and concise and easy to read. A really positive move has been to incorporate resident’s views within the documents. All information relating to individual residents is stored in accordance with the home’s written policies and procedures and the Data Protection Act 1998. The majority of information is stored in a metal cabinet within the office that is locked when not in use. Loriner Place (49) DS0000015062.V274454.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): 12,13, 15 Residents are supported and encouraged to have the opportunities for personal development, to take part in appropriate activities, to become part of the local community and engage in appropriate activities and relationships ensuring individuals independence and choice is maintained. Residents are supported to become part of the local community in accordance with individual assessed needs. The staff team encourages and supports residents to maintain contact with family and friends within and outside of the home. EVIDENCE: Residents do not access further education, however staff confirmed that they would support and encourage individuals if it was identified as a goal. Two residents access drama through the day centre, which is linked to a college. Tower drive is accessed for a number of residents if they choose to attend. Several individuals attend SNAPS, which is a workshop for packing etc. If residents wish to find employment staff would facilitate with support from other agencies as and when required. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 13 Residents are supported to access the local community by utilising community facilities such as the banks, library, cinema, leisure centres and shops. At the time of the visit one resident was out clothes shopping with a member of staff at the local shopping centre. The staff listen to and work with residents towards their personal preferences, wishes and dreams. One resident’s plan identified the wish to see Liverpool play football the manager confirmed that although it hasn’t happened yet the key-worker is working towards it. At the time of the inspection there was an indigenous resident group with a multi-cultural staff team. It was confirmed that the home will support racial, cultural and religious needs as and when required. Staff support residents to maintain family contacts, with a number of residents spending time away from the home, especially during the holiday periods. Visitors are welcomed into the home at times convenient to the home’s routines and residents arranged activities. Generally residents and staff are aware of when visitors are expected and planned visits take into account the arrangements of the whole resident group. Loriner Place (49) DS0000015062.V274454.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 Residents receive personal support in the way they prefer ensuring sensitivity and flexibility to maximise privacy, dignity and independence. EVIDENCE: There are five women and one gentleman living in this home, who are given all the support and encouragement to live their lives the way they prefer and require. All residents have degrees of independence generally needing reassurance and guidance only and are able to choose times for getting up/going to bed, bathing, meals, activities, clothes and the hairstyles they wish to wear. The home is installed with mobility aids for residents who are less able. As the home has two staircases one of them is fitted with a stair-lift. Specialist support for residents is accessible through the community learning disability team or the GP. The home operates a key-worker system that ensures consistency and continuity of support to individuals. Loriner Place (49) DS0000015062.V274454.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 There is clear written guidance in place to ensure that residents know how to make a comment about the service they receive. EVIDENCE: Fremantle instigated several years ago a feedback system for all complaints, compliments, concerns and questions to be addressed. The same system applies to all who wish to make a comment about the service it provides, such as residents, staff and visitors to the home. The resident version is written and in pictorial form. Each resident in this home had their own copy in a file in their bedrooms. The information clearly explains whom they can talk to and includes Fremantle’s head office address and the Commission for Social Care Inspection’s contact details. Records viewed confirmed that the home has not received any complaints about the service they provide. They have however taken possession of several positive comments and thanks from families or the residents. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 16 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, 27,28,29,30 The home is appropriately designed and located and generally well maintained so as to provide suitably equipped, decorated and furnished accommodation for the residents. EVIDENCE: The premises are suitable for its stated purpose, accessible, safe and reasonably well maintained. The home is two semi-detached houses knocked through into one home. Internally there is a lounge, which is ample in size to accommodate all residents, a separate dining room, kitchen, two toilets and a laundry on the ground floor and seven bedrooms and two bathrooms on the first floor. The staff office/sleep in room is based on the first floor. There are two staircases rising to the first floor, one has a stair lift installed giving residents with limited mobility more independence to get upstairs. The home was found to be bright and cheery, clean, tidy and free from offensive odours. Furniture and fittings are of a domestic nature along with the lighting and heating. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 17 The toilets are in need of decoration, which has been identified in the home’s business plan for this coming year and will be completed by August 2006. The laundry was found to be clean, hygienic and free from odours, systems are in place to ensure that the risk of spread of infection is minimised, in accordance with all the relevant legislation. Policies and procedures for the control of infection are in place and all staff are aware of the contents. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 18 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, 34, 36, The staff clearly understand their roles and responsibilities, ensuring that residents care and support needs are appropriately and effectively met. The home operates a recruitment procedure that ensures all staff are appropriately vetted to ensure residents are safe from abuse. Documentary evidence shows that staff are adequately and appropriately trained to ensure residents are cared for by competent and qualified staff. EVIDENCE: The manager ensures that staff have clear job descriptions and understand their own roles and responsibilities. Staff appeared to have developed good relationships with the residents they support and are able to meet individual needs, with particular attention being paid to gender, age and personal interests. Staff seem to respect service users and appear to be approachable, good listeners, good communicators and reliable. The home employs seven members of staff including the manager. Three staff have completed NVQ level 2 and above, one person has three units to Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 19 complete and two are enrolled for February 06. New staff members are completing their induction programme in line with TOPSS. All staff have been trained in the five mandatory areas with regular updates planned when required. All staff have received training in the Protection of Vulnerable Adults. Three staff personnel files were perused and found to contain all the documentation legally required under schedules 2 and 4 of the Care Homes Regulations. Records seen confirmed that staff have a minimum of six supervision sessions a year with a good agenda identified for each session, such as personal development, training and teamwork. Personal development reviews took place in December 05. Loriner Place (49) DS0000015062.V274454.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, 42 The registered manager is qualified and competent to manage the home to meet residents needs. Appropriate documentation in relation to health and safety checks and safe working practices are in place to protect residents from harm. EVIDENCE: Jackie Esmond has been the manager of Loriner Place for the past two years. Her career history in care has spanned the last 10 years, four of which were working with older people and in the Learning Disability field for six years. She has completed her Registered Managers Award and is a trained assessor. Jackie regularly updates her knowledge by attending the mandatory courses and specialisms such as Dementia etc. The manager has the overall responsibility for ensuring that the home maintains and works within an adequate budget, that the home achieves its aims and objectives and that there are ample staff to offer the care required to meet residents needs. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 21 The home ensures that all appropriate health and safety checks are carried out as and when required: • Portable appliance testing is carried out annually. • The boiler was serviced in June 05 • Fire alarm service is carried out annually • Emergency lights serviced in October 05 • Water microbiology testing annually • Stair lift serviced regularly The appropriate fire alarm testing and evacuations are carried out adequately and recorded appropriately. All COSHH data is accessible to all staff and is stored with the cleaning and maintenance equipment. Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X X X X 3 X Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard 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. Refer to Standard Good Practice Recommendations Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 Loriner Place (49) DS0000015062.V274454.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!