Inspection on 30/10/07 for Lymehurst

This inspection was carried out on 30th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Lymehurst 21/11/06

Lymehurst 11/07/06

Lymehurst 28/11/05

Lymehurst 24/08/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Lymehurst 112 Ellesmere Road Shrewsbury Shropshire SY1 2QT Lead Inspector Mike Moloney Key Unannounced Inspection 30th October 2007 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 Lymehurst DS0000061052.V353977.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. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lymehurst Address 112 Ellesmere Road Shrewsbury Shropshire SY1 2QT 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) 01743 351615 01743 351416 lymehurst@aol.com Mrs Goulsen Ibrahim Mr Tay Sivri, Mr Seref Ibrahim, Ms Narin Ibrahim vacant post Care Home 32 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (24) of places Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate 32 Elderly Persons of which a maximum of 8 persons may be suffering from Dementia. 21st November 2006 Date of last inspection Brief Description of the Service: Lymehurst is a private care home registered with the Commission for Social Care Inspection to provide a full residential service for up to thirty-two older people. The home is situated on Ellesmere Road close to the centre of Shrewsbury. The homes owners Mrs Ibrahim and her family operate the business with Tay Sivri having day-to-day management responsibilities. The property has been converted from a large double fronted Victorian family style residence and extended at ground floor level to provide comprehensive and spacious accommodation. The Home stands in its own grounds entered from the road onto a large forecourt. There is an established staff group providing residents with consistency in a homely atmosphere. Weekly fees range from £400.00 - £460.00. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Commission for Social Care Inspection Reports for this service are available from the provider or can be obtained from www.csci.org.uk Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been made as a result of this inspection. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. Prospective residents and their representatives have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the one person admitted to the home since the last inspection were looked at and these showed that the home had completed an assessment of that person to ensure that they could met her needs. This assessment had included information provided by the both the service user and her family. The records also contained a copy of a contract which identified what service she could expect and what the fees would be. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 9 The home was also seen to have an up to date service users guide that was easily accessible to the residents. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of two service users who had been living at the home for some time were looked at. Risk assessments were seen to be in place and covered a range of activities including manual handling, the use of bed rails as well as the use of the stair lift that assists access to the first floor. Monthly care reviews were seen to have taken place. These were seen to include falls assessments, nutritional assessment and such like. Medical appointment charts showed visits to or by various healthcare professionals. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 11 Throughout the inspection staff were seen to be polite and discrete. Talking with service users confirmed that this was their usual experience. A number of service users confirmed that they get help to get up at times that they prefer. A group of the service users who were spoken to in the lounge made comments like “they can never do enough”, “I can only speak for myself: can’t speak highly enough of them”. Medication procedures and storage were looked at and these were seen to be appropriate. The staff confirmed that they had received training in the safe handling of medication. The home was seen to have appropriate storage for controlled drugs although there were none in the home at the time of the inspection. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellant. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of two of the service users were looked at and these were seen to contain information about the individuals’ likes and dislikes as well as their needs. The records also contained the individuals preferred form of address. Although neither of the two sets of records identified any specific cultural or religious needs conversation with the proprietors identified another person who had specific religious needs. It was clear that they had an understanding of the dietary needs of that person and encouraged them to take part in the services at a local place of worship. Talking with the service users showed that they are regularly taken out for visits to local places of interest including cafes. They also talked about going Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 13 out to a dance club organised by a local interest group and the records of the events showed that this happened weekly when between one and four of the residents would go. The residents also talked about trips to shows at the Music Hall in Shrewsbury. The records also confirmed that they were taken by transport provided by the home to any medical appointments as the need arose. Activities also take place within the home. On the day of the inspection one such took place when one of the proprietors organised an exercise group. She had undergone training to carry out this session. Listening from the corridor it seemed that this was a popular activity as there was lots of laughter and banter. From the records it appeared that between six and ten service users regularly take part in this activity. All of the bedrooms had appropriate locks so that the occupants could make them secure if they wished, however, when asked about this all those spoken to said that they didn’t want a key saying such things as “What do I want one of them for?” and “My things are safe enough”. Two of the service users were in hospital at the time of the visit and their rooms had been secured by the manager. The records of what each person had eaten were seen in their files as well as the menu kept in the kitchen. The menu showed a balanced and varied diet was on offer and looking at the meal served on the day of the inspection and talking to the residents confirmed that these were well prepared and presented. As mentioned previously special diets were catered for by the home. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints book was looked at and one complaint had been received since last inspection. The records showed that this had been concluded in a satisfactory manner. The complaints policy was also looked at and was seen to contain the appropriate information. A number of the service users spoken to said that any issues that they had raised with the staff or the proprietors had been dealt with quickly and efficiently. No referrals had been made under the local vulnerable adults policies and procedures since the last inspection. Records seen showed that adult protection training for staff is ongoing. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated to the north of Shrewsbury with easy access by both car and bus. The building currently consists of the older, two storey original part of the building and a single storey modern extension. A second single storey extension was near completion and was awaiting registration with the Commission for Social Care Inspection. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 16 All of the bedrooms were bright, airy and clean as were the two lounge area. The larger of the two communal areas also has a dining area. The manager confirmed that part of the work to the home would involve the resurfacing of the car parking area to the front of the building. The home has an appropriately equipped laundry room that also contains the store for hazardous materials. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be polite, sensitive and friendly towards the service users with the residents spoken to during the visit saying that this was what they had come to expect. Staff rotas showed that staffing levels meet the needs of the service users. Service users said that staff are always available to help when they need them. The records showed that a variety of training courses are available to the staff on a variety of subjects from the basic mandatory safety training through to dementia training and adult protection training. The staff confirmed that they are encouraged to undertake this training as well as to be part of the National Vocational Qualification training programme run by the home. The home was seen to carry out appropriate pre-employment checks to ensure that new employees are fit to work with vulnerable people. New staff are then Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 18 put through an induction programme that is designed for people who are new to the care industry. Lymehurst DS0000061052.V353977.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager confirmed that he has the Registered Managers Award and National Vocational Qualification 4 in care which are both qualifications that are considered appropriate for someone who is managing a service such as this. The manager is also one of the proprietors of this family owned home and he is regularly assisted by other members of his family, as was seen on the day of the inspection and confirmed by the way in which the residents talked about them. Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 20 The home has carried out a formal user consultation exercise in the form of a user satisfaction questionnaire. Records showed and service users confirmed that residents meetings are held every two to three months where issues relating to the running of the home are discussed by the residents and their representatives with the management. The home holds cash for small number of service users. Records were available for inspection. The manager stated that he and other proprietors check them regularly and each transaction is countersigned by one of the senior care staff. The records showed and staff confirmed that staff supervision sessions are taking place at the required intervals. A number of records were seen showing that safety checks had been carried out on such things as portable electrical appliances and fire safety equipment Records of fridge and freezer temperatures were seen to have been kept. The home was also seen to have secure storage for hazardous materials and have developed instructions for their safe use. As mentioned elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. Lymehurst DS0000061052.V353977.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 3 3 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 4 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 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 3 x 3 x 3 3 x 3 Lymehurst DS0000061052.V353977.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. Refer to Standard Good Practice Recommendations Lymehurst DS0000061052.V353977.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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