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Inspection on 21/11/05 for Lothian House Care Home

Also see our care home review for Lothian House Care Home for more information

This inspection was carried out on 21st November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users spoken to were complimentary as to the care and service they receive in the home. Comments included, " If I need help, I just ask", " Well looked after, looking forward to Xmas activities with the staff ". A service user commented on the food served saying, " There is something for everyone". The general atmosphere in the home was seen to be friendly and relaxed. Many service users where moving freely around the building, chatting to staff and other people living in the home.

What has improved since the last inspection?

Since the last inspection the refurbishment of bathrooms has been completed. Which gives service users a better choice of bathing facilities.

What the care home could do better:

The manager must ensure staff responsible for completing information in care plans, fully understand the importance of doing this. Otherwise other staff will not have the necessary information to meet the changing needs of the people who live in the home.

CARE HOMES FOR OLDER PEOPLE Lothian House Care Home Clyde Terrace Spennymoor Durham DL16 7SG Lead Inspector Belinda Parker Unannounced Inspection 21st November 2005 09:00 X10015.doc Version 1.40 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 Lothian House Care Home DS0000000728.V252252.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 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. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lothian House Care Home Address Clyde Terrace Spennymoor Durham DL16 7SG 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) 01388 811488 01388 811693 Southern Cross Home Properties Limited Jill Carr Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered manager must attain (by 2005) a qualification at Level 4 NVQ in management and care or equivalent. 24th May 2005 Date of last inspection Brief Description of the Service: Lothian House is a registered care home providing personal care and accommodation for up to 48 older persons in the category of (OP). It is owned by Southern Cross Healthcare Properties Ltd and operates within the private sector. The home is located on the outskirts of Spennymoor, County Durham, close to local amenities. It is a two-storey building located in its own well-maintained private grounds that are easily accessible. Personal accommodation and communal areas are provided on both floors. All bedrooms are used as single accommodation giving the home an occupancy level of 47 older persons. Thirty three of the 47 bedrooms ensuite facilities. Service areas located on the ground floor. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 21st November 2005 over a period of 5.5 hours. During this time the inspector spoke to the manager, service users and staff. And a number of records were examined. There were no outstanding requirements or recommendations since the last inspection. What the service does well: 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. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 7 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 the following standard(s): Standards 1, 2, 3 and 4 A clear admission process to the home is in place. This provides prospective service users and their families with good information to help them decide if the prospective service user wishes to move in. EVIDENCE: The home has in place a Statement of Purpose and Service User Guide. The manager said these documents are at present being reviewed by the company, to provide better information for the people who live in the home and prospective service users who wish to come and live there. The manager said all service users moving into the home are given a copy of the Terms and Conditions of Residency. And are asked to sign as to their agreement. No service users move into the home without a full pre-admission assessment being carried out to ensure that the home can meet the individual needs of the prospective service user. Care plans examined contained evidence to show Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 8 that a pre-admission assessment had been carried out with the involvement of the service user and their family. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 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 the following standard(s): Standards 7, 8, 10 and 11 Not all care plans examined showed that there was a clear and consistent care planning process in place. This does not adequately provide staff with the necessary information to enable them to meet the changing needs of the people who live in the home. Comments made by service users during discussion showed that they have a good relationship with staff and are listened to. EVIDENCE: Four Care plans examined showed that they had been compiled from a full assessment being carried out prior to and on admission. It was observed that in identified areas of individual care plans examined staff had not completed evaluations or cross- referenced information put in plan by another staff member. This could affect the delivery of care to individual service users due to confusing or incomplete information. During the inspection the inspector spent time with staff members discussing care plans and the importance of clear and complete information. To ensure the needs of service users are being met. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 10 Care plans contained evidence to show that service users living in the home are registered with a GP in the area and have access to other health care services. Service users spoken to said staff treat them with respect and take time to chat. Comments from service users included, “ If I need help, I just ask”, “ Well looked after, looking forward to Xmas activities with the staff ”. A policy and procedure for death and dying is in place. The manager said in the event of serious illness or dying arrangements will be made for service users’ family members to stay with them at night if they so wish. The wishes of the service users will be respected by staff. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 11 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 the following standard(s): Standards 13, 14 and 15 The home welcomes and encourages relatives and friends to visit with no restrictions. The dietary needs of the people living in this home are well met. EVIDENCE: Service users spoken to during the inspection said their visitors can call in at any time. The manager confirmed this. The home has recently put in place an improved information system for service users to be able to access an advocate other than their family members to speak on their behalf if they so wish. Information about this service was displayed in and around the home. Service users spoke positively about the quality of the food. A service user commented “ There is something for everyone”. Care plans contain a nutritional assessment. The manager said dietary advice will be sought from a Dietician if required to meet the changing needs of individual service users. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 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 the following standard(s): Standard 17 Service users living in this home have their rights protected and are able to exercise those rights directly. EVIDENCE: The manager said during the General Election earlier this year. A system had been put in place to enable service users to participate in the electoral process if they so wished. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 13 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 the following standard(s): EVIDENCE: This standard set was not assessed at this inspection. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 29 The home ensures the people living there are protected from harm or neglect through good recruitment procedures. EVIDENCE: Four staff personnel files examined contained evidence to show that thorough recruitment checks had been carried out prior to commencement of employment to ensure the protection of service users from harm or neglect. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 15 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 31, 33, 35 and 38 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: This standard set was not assessed at this inspection. Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 16 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 OP8OP7 15 Regulation Requirement The registered manager must ensure all care plan information including monthly evaluation of care plans is cross-referenced and completed by the Key Worker. To ensure the changing needs of service users are being met. Timescale for action 01/01/06 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 Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lothian House Care Home DS0000000728.V252252.R01.S.doc Version 5.0 Page 19 - 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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