Inspection on 22/08/05 for Lunesdale House

This inspection was carried out on 22nd August 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

Lunesdale House 09/10/06

Lunesdale House 23/03/06

Lunesdale House 01/03/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lunesdale House Hale Milnthorpe Cumbria LA7 7BN Lead Inspector Jane Strawbridge Unannounced 22 August 2005 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. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lunesdale House Address Hale Milnthorpe Cumbria LA7 7BN 015395 63293 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) Mr Christopher David Green Care Home 14 Category(ies) of OP - Old Age registration, with number of places Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include: Up to 14 service users in the category of OP ( Old age, not falling into any other category) 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 01 March 2005 Brief Description of the Service: Lunesdale House is a residential care home providing personal care and accommodation for up to 14 older persons. The home is a large detached, older property with a modern extension. It is situated on the A6 approximately 2 miles south of the town of Milnthorpe, a market town in the southern Lake District. The premises are set back from the main road and are surrounded by large, attractive gardens that are easily accessible, with a car park at the front and to one side. There are views over the surrounding hills and countryside from most rooms in the home.The home has 10 single bedrooms and 2 larger bedrooms that had previously been used as double bedrooms. All bedrooms have en suite facilities and were being used for singe occupancy only. There is a stair lift for service user access to the first floor. The home is currently being extended and refurbished throughout to improve the quality of the accommodation. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place over one day. There is a relaxed and welcoming atmosphere in Lunesdale House where evidently residents have formed lasting friendships. Mr Christopher Green the owner and registered manager, was present throughout the inspection. The deputy manager was also present part way through the inspection. The inspector spent time talking with the residents either in small groups or individually and with the managers and staff on duty. Records to do with the care of the residents and the day to day running of the home were looked at and the inspector visited all parts of the home. What the service does well: What has improved since the last inspection? There had been a number of requirements and good practice recommendations made at the previous inspection and work had been done to address most of these. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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 Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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) 1, 2, 3, 4, 5 The home has an admission procedure that ensures a proper assessment takes place before people move into the home. This practice together with the information given to prospective residents ensures that care needs can be met. EVIDENCE: The admissions procedure to the home complements the information in the service users’ guide and includes a full assessment of need being carried out before decisions are made about moving in to the home. The information is recorded and forms the basis of the care plan so that staff members are aware of each resident’s care needs. It was routine to issue all residents with an individual contract and terms and conditions so that each resident or their representative had an understanding of their terms of residency. Visitors and potential residents are welcomed into the home without an appointment at any reasonable time. Residents spoke warmly of the way they and their relatives had been welcomed into the home and helped to settle in. All admissions are planned and Lunesdale House does not provide intermediate care. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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, 9, 10 Health care needs of residents are identified, recorded and met in a way that respects their dignity and privacy. EVIDENCE: The health care needs of each resident had been adequately recorded in their individual plans of care so that care staff members were able to use this information to address these needs. Work is in progress to improve the standard of the care planning for the benefit of residents and staff. Records of visits by GPs and other health care appointments had been kept. Residents confirmed that the staff assisted them to keep hospital out patient appointments and to see the chiropodist, dentist and optician. They also said that to have someone with them who they knew and trusted gave them confidence and made it a pleasant experience. Afterwards they were “often taken on a detour to have lunch or tea” before returning home. Medication procedures were followed correctly and were regularly audited by the local pharmacist to ensure the safety and well being of the residents. None of the residents was administering their own medication. Residents said that staff “were smashing” and spoke to them in a courteous manner, respecting their right to privacy and dignity. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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, 15 An organised programme of creative social activities that are stimulating and interesting has been developed for people living in the home. The home provides a relaxed and friendly, welcoming environment for visitors. Meals are balanced and nutritious to offer a healthy variety of food that meets the residents’ tastes and choices. EVIDENCE: Residents said they enjoyed the weekly exercise and flower arranging classes that had been recently introduced into the home. Visitors were welcome to visit the home at any reasonable time and become involved in their relative or friend’s daily activities. Residents and staff confirmed that drinks and refreshments were always on offer to visitors during visits. Home visits and outings were encouraged for residents to maintain social contact with families and friends. Meals were served either in the dining room or in the resident’s own room. Three full meals a day were provided with drinks and snacks in between. The residents looked forward to their meals and said that “the cook knows what we like and we tell ‘them’ if we don’t like it” and “we can always have something else instead.” The food was described as “marvellous, superb, and lovely.” Care staff provided discreet assistance at meal times as required. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 11 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, 18 Residents were confident that any concerns would be listened to and acted upon. The home’s staff members are aware of the policies and procedures that protect residents from risk of harm or abuse. EVIDENCE: The home has a detailed complaints procedure on display in the entrance hall and included in the home’s Statement of Purpose which is given to every resident or their representative. Residents said they knew who to contact if they had any concerns and they were sure that something would be done to improve matters and “sort out he problem.” They also spoke about a satisfaction questionnaire that was used to find out if they were happy with the service provided by the home. Staff have been given awareness training on recognising abuse and the protection of vulnerable adults so that they knew how to respond to any suspicions or allegations. As an additional safeguard the home held formal staff handovers where significant events were discussed in detail and staff made aware of any actions that might be required to protect residents from harm. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 12 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) 19, 20, 21, 22, 24, 25, 26 Lunesdale House is in the midst of an improvement programme that has been designed to minimise the risk of harm and disruption to the daily lives of the residents. EVIDENCE: Since the previous inspection further improvements have been made internally to the building to adapt the accommodation to make it more accessible for less mobile residents. A number of residents commented on the work saying “it has been done for our benefit” and “things are much better since Mr Green took over.” They also confirmed that they had not been troubled during the work because it had been carefully planned. Externally two extensions are being constructed to improve the facilities for residents. Health and safety procedures have been implemented her to protect the wellbeing of the residents. The residents are interested in these developments and are looking forward to the benefits of increased living space. Residents said that they were happy with their rooms and were especially pleased that they had their own en - suite facilities although most used the equipped bathrooms for baths and Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 13 showers. They said how much they appreciated the opportunity to bring with them small pieces of furniture and personal possessions to make their bedrooms homely and comfortable. All rooms in the home were domestically furnished and decorated, were tidy and cleaned to a very high standard. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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 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, 28, 29, 30 The numbers of staff, together with their levels of expertise, on duty during the day and night are sufficient to meet the needs of the residents. The procedures for staff recruitment are robust and offer protection for people living in the home. EVIDENCE: Records indicated that care staff had been given the range of training to provide them with the skills and knowledge to enable them to do their job effectively. Staff were observed working competently with residents who said “staff were kind and caring and nothing was too much trouble.” Personnel files of the members of staff recruited since the previous inspection showed that the home had carried out all the necessary recruitment checks to ensure the protection of residents. Some staff had completed the NVQ Level 2 and 3 Care Award and others were being encouraged to enrol for the training. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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 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) 31, 32, 37, 36, 38 The senior managers provide leadership and guidance to staff so that residents receive consistent quality care. There are procedures and practices in place to ensure the health and safety and wellbeing of the residents, staff and visitors. EVIDENCE: The registered manager has completed NVQ level 4 in Management and Care and has significant experience in senior management in residential care. An experienced deputy manager has been appointed since the previous inspection to focus on the day - to - day management and supervision of the care staff. Areas of responsibility and accountability were clearly defined. Staff members are supervised “on the job” and at handover sessions between shifts. Matters were addressed as necessary to ensure safe and appropriate working practices. However there were no records of formal supervision having taken place at least six times a year. A recommendation had been made at the previous inspection to cover this shortfall. However this had not been acted upon in Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 16 time for this inspection, therefore a requirement has been made to cover this shortfall. Records showed that staff had been given training to protect themselves and residents from harm. This training included moving and handling, infection control, fire training, food hygiene and first aid. Records showed that risk assessments had been undertaken to identify potential and actual hazards and actions taken to ensure the health and safety of everyone living, working and visiting the home. Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 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 3 3 x x x 2 x 3 Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 18 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 36 Regulation 18 Requirement A formal supervision programme for care staff must be implemented. Timescale for action 31/12/05 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 Good Practice Recommendations Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Lunesdale House F58 F10 s62846 lunesdale house v236923 220805 ui stage 4.doc Version 1.40 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. 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