Inspection on 13/06/06 for Loudoun House

This inspection was carried out on 13th June 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

Loudoun House 18/10/07

Loudoun House 06/09/05

Loudoun House 29/06/05

Loudoun House 01/12/04

Loudoun House 03/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Loudoun House Ridgeway Road Ashby-de-la-Zouch Leicestershire LE65 2PJ Lead Inspector Mrs C A Burgess Unannounced Inspection 13th June 2006 09:30 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 Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 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. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Loudoun House Address Ridgeway Road Ashby-de-la-Zouch Leicestershire LE65 2PJ 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) 01530 412184 01530 412184 Rushcliffe Care Limited Mrs Susan Roberts Care Home 35 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (35), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories DE(E) No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within the home. Service User Categories MD(E) No person falling within category MD(E) may be admitted to the home when 4 persons who fall within category MD(E) are already accommodated within the home. Service User Categories LD(E) No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated within the home. Service User Categories PD(E) No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated within the home. Service User Categories SI(E) No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated within the home. Service Users Service users between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration continue to reside there. To be able to admit the person named on variation application number 49975 dated 24th June 2003 under category PD into the home. 6th September 2005 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Loudoun House is a residential care home for thirty-five older persons of both sexes. It was opened in 1959 and refurbished in 1999. The home provides care for a limited number of older persons with learning disability, mental disorder, physical disability and sensory impairment. It also provides a small number of day or part day care placements whereby a limited number of older persons spend a few hours and have lunch at Loudoun House before returning home. Accommodation is on two floors and can be accessed by stairs or passenger lift. The home is bright and clean with a good standard of décor throughout and provides a safe and caring environment for all of the residents. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 5 Bedrooms are mostly single, with a hand washbasin; with one double bedroom, and there are adequate toilet and assisted bathing facilities throughout the building. There are a number of lounges and kitchenettes for the use of residents and their visitors. In addition, there is a large dining room, with a bar. The home is surrounded by large well-maintained gardens and there is a patio and seating at the front and side of the home. The home is accessible by public transport and there is sufficient parking for visitors. The Statement of Purpose, Service Users’ Guide & Inspection Report are available on request (these provide information on how the agency is organised and what services they provide). The Statement of Purpose and Service Users’ Guide are provided for all new residents. At the time of the site visit the Registered Manager stated that weekly fees were: £319 - £420. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff, residents and their relatives and visitors. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through a review of their records, discussion with their relatives, the care staff and visitors to the home, and observation of care practices. Many of the residents were seen during the inspection. Seven residents, a resident’s relative, a GP and staff spoken with, gave the Inspector their impressions of the home. What the service does well: What has improved since the last inspection? The home continues to provide a good standard of care for the residents. In those residents’ files reviewed a copy of the contract/Terms & Conditions was retained, as recommended in September 2005. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 7 What they could do better: There were no requirements and only four recommendations following this inspection: • For those residents receiving respite care, albeit for short periods only, it is recommended they are (similarly to permanent residents) admitted only on the basis of a full assessment from which a care plan is developed to ensure that all of their health, welfare and social needs are fully met. That it is demonstrated that all care plans are drawn up with the involvement and agreement of the resident and/or their representative. That residents, specifically those who receive respite care, are supported to continue making choices about their everyday life and encouraged to maintain their independence, as far as is possible, to the level that is expected when they return home. To ensure that there are no offensive odours in the home which may compromise the dignity of the residents. • • • 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. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 8 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 Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 9 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): 3 & 6. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is generally well managed and most residents receive a comprehensive assessment, thereby ensuring that their health and welfare needs are being met. EVIDENCE: The pre-assessment process is generally detailed and robust and reflective of the health and welfare needs of the residents, as was seen in two of the three files reviewed. However, a resident who had been in the home for about one week, receiving respite care, did not have an assessment by the home’s staff. The file did contain a comprehensive assessment made by Social Services prior to the respite placement. This was discussed with a Senior Manager and the Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 10 Registered Manager. The Senior Manager stated that this was not usual practice and that a 72-hour assessment of need was normally completed by the staff in the home to ensure that the resident’s health, welfare and social needs would be identified and fully met. The home does not provide intermediate care although they do provide respite facilities for a number of people. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 & 10. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their health and personal care. EVIDENCE: Care plans were generally detailed and reflective of residents’ specific and individual needs. However, one resident receiving respite care did not have a care plan (see Standard 3). Contact with healthcare professionals is well documented. The quality of record keeping is generally good and reflective of the high standard of care observed during the inspection; however, further work needs to be done to evidence the involvement of residents and/or their relatives/representatives in the care planning and review process to ensure that the needs of the residents are fully met – as was identified following the previous inspection. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 12 Seven residents and a relative said that residents were well cared for by the staff, who were polite and respectful, although one resident said she was sometimes kept waiting when ringing the call bell but that staff were “usually prompt” in attending to her needs. Medication policies and procedures are sound ensuring the safe and timely delivery of residents prescribed medication. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 13 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): Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff work very hard to ensure that residents experience a safe, homely life style. EVIDENCE: Visitors came and went during the time of the inspection including a GP who said that he had no concerns about the home. An activities officer provides a programme of daily activities for the residents. Details of daily activities are available on the notice board in the reception area. Residents said that they enjoyed listening to music played on the accordion and joining in with the songs provided by an entertainer who regularly visits the home. Most residents spoken with said that there was enough to do but a few, who were more active, said they would like the “odd trip out”. The Registered Manager said that she was arranging a visit to a garden centre in the near future. Residents said that they were looking forward to the home’s summer garden party. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 14 One resident said that the television in the upstairs sitting room had not worked properly for about three weeks because the remote control was missing, although most of the residents had their own TV in their room. The Registered Manager said that she would provide a new remote control to enable the residents to enjoy watching the television together if they wished to do so. Menus are balanced and appealing, and are flexible enough to accommodate individual preferences and healthcare needs. They are freshly prepared and are of a good standard and the residents said that they enjoyed their meals, which were always ‘very good’ and with choices. It was noted that a resident receiving respite care, who was usually selfmedicating, had not been supported to continue self-medication during his stay at the home. The Registered Manager stated that this was a decision made by the resident’s relatives and the staff. As there were no care plans in the resident’s file there was no evidence of any discussion or agreement with the resident regarding his wishes, nor did it demonstrate that the resident had been supported in maintaining choice and control over his life. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 15 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): 16 & 18. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents’ rights. EVIDENCE: The home’s complaints process reflects the government’s adult protection guidelines, set out in the local Multi Agency Policy & Procedure For The Protection of Vulnerable Adults from Abuse, No Secrets’ publication. Staff are aware of these procedures and receive relevant training. Complaints and concerns made to the home are dealt with appropriately. Residents and staff comments demonstrated that they feel at ease discussing any concerns with the Registered Manager and staff although one relative had a concern that she had not discussed with the staff because she “didn’t want to make a fuss”. The relative’s concern was discussed with the Registered Manager who said that she had an ‘open door’ policy and was always happy to discuss residents’ or relatives’ concerns to help improve the service and ensure that there was an open ethos in the home. The CSCI have not received any complaints relating to the home. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 16 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): 19 & 26. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, clean and safe standard of accommodation is provided for the residents. EVIDENCE: The home is safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a good standard that creates a comfortable and homely environment, and there is a system of maintenance and refurbishment. Residents’ rooms were clean and well decorated, and residents are able to bring items of their own furniture and possessions with them to personalise their rooms. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 17 One specific room, as identified and discussed with the Registered Manager, had an offensive odour on entering the room, which had been noted by the resident’s relative. The carpet in the room requires attention to eliminate the odour and to ensure that the resident’s dignity is maintained. Hot water temperatures are checked to ensure they comply with Health and Safety legislation and were satisfactory when checked during the inspection. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 & 30. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are sufficient in numbers to meet the residents’ needs. EVIDENCE: Staffing hours, at the point of inspection were satisfactory and in line with the Department of Health Residential Forum Guidelines and were sufficient to meet the residents’ needs. Training for staff is well planned and supports staff in providing for the varied needs of the residents. Extensive ‘in house’ training also supports staff in meeting the residents’ health and welfare needs. Training in the care of people with dementia is planned in the near future to support staff in providing care for this specific group of residents. Rushcliffe Care Limited, Epinal Way Care Centre undertakes the recruitment process centrally and this is inspected when inspecting the care homes at the Epinal Way Care Centre. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 & 38. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager manages the home efficiently to protect the rights and needs of the residents. EVIDENCE: The home has a Registered Manager with 8 years of experience in care. She is currently undertaking the Registered Managers Award and the NVQ Assessors qualification, which she hopes to complete in about three months time. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 20 There is an ethos of openness in the home; staff are friendly and helpful towards the residents, their relatives and each other. The warm welcome one resident received from staff on her return from a hospital admission was pleasing to see. The resident said she was “glad to be home”. Residents’ personal allowances are managed appropriately. Records are kept, checked regularly and signed by two members of staff to ensure that residents’ money is kept safe. Health and Safety Policy and Procedures are robust. Regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP3 Good Practice Recommendations The Registered Person(s) are recommended to ensure that all residents, including those who receive respite care, are admitted only on the basis of a full assessment to demonstrate that their health, welfare and social needs will be met. The Registered Person(s) are recommended to demonstrate that residents care plans are drawn up with the involvement of the resident or their representative. The Registered Person(s) are recommended to conduct the home so as to maximise residents’ capacity to exercise personal autonomy and choice. The Registered Person(s) are strongly recommended to ensure that the resident’s room, as identified to the Registered Manager, is kept free from offensive odours. 2 3 4 OP7 OP14 OP26 Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Loudoun House DS0000058947.V294003.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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