Inspection on 19/06/07 for Lyncol House

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Lyncol House 16/03/06

Lyncol House 07/12/05

Lyncol House 15/02/05

Lyncol House 14/07/04

Lyncol House 23/03/04

Lyncol House 21/10/03

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

Greenacres

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

CARE HOME ADULTS 18-65 Lyncol House 8 Lovelace Close Parkwood Gillingham Kent ME8 9QP Lead Inspector Sarah Montgomery Key Unannounced Inspection 19th June 2007 10:00 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 Lyncol House DS0000029060.V334464.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyncol House Address 8 Lovelace Close Parkwood Gillingham Kent ME8 9QP 01634 371406 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) Mrs Lynette Pamela Willard Mr Colin James Arthur Willard Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 16th March 2006 Brief Description of the Service: Lyncol House is a family run care home for adults with learning disabilities. It has registration for 3 service users. It is run solely by the owners - Mr and Mrs Willard. It is a large, detached, spacious property, providing accommodation over two floors. Service users have access to all areas of the home. Service Users are supported and facilitated to lead active, fulfilling lives, accessing jobs, adult education, day services and leisure facilities in the local community. Lyncol House is situated in a quiet residential area close to Gillingham. The home has a statement of purpose and service user guide, both of which are accessible to service users. Weekly fees range between £250 - £450. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted by Sarah Montgomery on June 19th 2007. Evidence was gathered by speaking with the home owners and two service users. Several documents were inspected, including care plans, risk assessment and the service user guide. Conversations with service users and the owners, reading of care plans, and inspection of policies and individual records, all evidenced that this home is committed to promoting and practicing equality and diversity for all service users and staff. Outcomes for service users are positive, and all information gathered evidences that service users living at this home are leading valued and fulfilling lives. What the service does well: What has improved since the last inspection? What they could do better: No recommendations. Lyncol House DS0000029060.V334464.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. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. Prospective service users can be confident that their individual aspirations and needs will be assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not admitted any new service users for a number of years. Prior to moving in, all current service users were assessed by the home and by care management. These assessments remain on file. The home has ensured that assessments are updated regularly, and that service users current needs and aspirations are documented, care planned and risk assessed. Conversations with two service users, including inspection of care plans, evidenced that service users aspirations and needs are known and documented. Service users feel supported by the home, have clear goals and lifestyle aspirations, and know that the owners will do all they can to ensure their individual aspirations are achieved. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 9 The owners have developed links with other professionals within the multi disciplinary setting. Service users are supported by a wide range of services, coordinated by the home to ensure all assessed needs are met. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is excellent. Service users can be confident they will be supported to make decisions and choices in accordance with their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We inspected all three care plans. All care plans have been written with the individual service user and in consultation with care management. There is clear evidence of continuing assessment and review, and this is demonstrated particularly with one service user where their care and support needs are changing rapidly, with care plans and risk assessments being reviewed, updated and changed at least monthly. Care plans are incredibly detailed. They not only inform the reader of care and support needs, but of service user’s aspirations and personal goals. A historical Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 11 background is also given, which supplies key information about why support is needed, and how individuals prefer to receive support. Risk assessments share the same level of detail. Again, service users have been fully consulted and involved in developing and agreeing to their individual risk assessments. Risk assessments are closely linked to ongoing assessments and care planning. They detail the particular risk, and outline all support and guidance the service user requires. During the inspection the owners demonstrated knowledge and understanding regarding enabling service users to take risks as part of an independent lifestyle. Their risk management strategies and skills in identifying risks ensure that service users are protected without being denied opportunities to lead valued and fulfilling lives. Service users spoke with the inspector about their care plans and risk assessments. They confirmed that they are continuously consulted about their care, and recognise that sometimes the way they are supported has to change because of their own changing needs. They expressed difficultly at coping with some changes, but stated that they felt supported and cared for, and that everything is always explained and discussed in a sensitive and clear way. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. Service users can be confident that they will be supported to make positive lifestyle choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users at Lyncol House are supported by carers who respect them as individuals, recognise their strengths, and celebrate their achievements. The home is happy and relaxed, and there is a genuine feeling of mutual respect. This positive culture has fostered an environment in which individuals have been supported to explore and develop a lifestyle that brings them fulfilment and opportunities for growth and development. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 13 Service users spoke enthusiastically about their lifestyles, and recounted experiences of regular holidays and leisure pursuits. They spoke about how active they are in the community, attending clubs, day services, the local church, accessing shops and banks, going to college, attending work, and visiting friends. Service users are supported to keep in touch with friends and relatives by telephone, letter writing, email and visits. Service users were asked about the quality and quantity of food at the home; ‘I love it’ was the response. The owners are aware of and have recorded all likes and dislikes, including favourite meals of all service users. Being a family home, strict menus are not devised, and service users along with the owners decide on a day to day basis what they fancy to eat. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is excellent. Service users can be confident that their personal and healthcare support needs will be assessed and met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a healthcare plan which focuses on maintaining wellbeing and good health by way of leading a healthy lifestyle, and awareness of prevention of illnesses, as well as documenting current health needs with guidelines regarding support and management. It was clear through discussions with service users and the owners that the emotional health needs of individuals are met. The home promotes an environment in which service users are confident and comfortable to discuss any worries regarding their health or day-to-day lives. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 15 Some service users require support with personal care. Personal preferences around how support is given and preferred is sensitively and clearly recorded, and ensures that the dignity and wishes of individuals is upheld. Service users are supported to retain a high level of independence around their prescribed medication. This is in accordance to individual risk assessments, and is reviewed regularly. The home record all medication – both administered and self-administered on medication administration record sheets. Service users are supported to make appointments. All appointments including outcomes and actions are recorded. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is excellent. Service users can be confident that their views will be listened to and that they will be protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed a pictorial complaints procedure, which is accessible and usable for all service users. It provides clarity regarding how to complain and who to complain to. Service users spoke to the inspector about living at the home. They described an environment of openness, support and caring, in which they were encouraged to talk about any problems or concerns they may have in their lives. When questioned, the service users confirmed that they were aware of the complaints procedure, but added that they had never needed to use it and that they were extremely happy at the home. The home has policies and procedures which complement and run alongside recognised and published adult protection protocols. The owners have been vigilant in updating themselves on latest developments in adult protection, and this includes participation in adult protection training. The owners are aware of regulations with regard to notifying the Commission and multi agency groups of any adult protection matters. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is excellent. Service users benefit from living in a homely, comfortable and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users are very proud of their home, and are clearly relaxed and comfortable in their environment. It is a family home, and all areas are accessible to service users. The home is decorated and furnished to a very high standard. Communal areas comprise of a kitchen diner, a dining room, and a lounge. Additionally there is a utility room, a cloakroom and a bathroom. Service users have their own bedrooms, and have chosen the colours, décor and furnishing for their rooms. All bedrooms are furnished and accessorised according to individual tastes. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 18 The home has a small garden, which is well maintained. Service users spoke about summer barbeques and parties held there. All areas of the home are well maintained. The home is clean and hygienic and free from hazards. Both owners have experience and knowledge of health and safety regulations in a care home setting. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32 and 35. Standard 34 does not apply. Quality in this outcome area is excellent. Service users are supported by a competent and effective staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lyncol House does not employ a staff team. It is run as a family home, with the owners providing all care and support to the residents. Information gathered during inspection evidences that the owners provide excellent care and that residents benefit from being supported competently and effectively. The owners are aware of the need to update their training to ensure best practice and to ensure their knowledge on care practices and current developments are up to date. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is excellent. Service users benefit from living in a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a highly experienced individual. She has worked in social care, delivering quality services to people with learning disabilities for over thirty years. The home is run jointly by the two owners. There are no other staff. Together they have developed a service in which residents are supported and encouraged to lead valued and fulfilling lives. There is a strong ethos of Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 21 openness and transparency, and the service is lead and developed by the current and changing needs of residents. The owners ensure their knowledge on care practices and current developments are up to date, by attending training courses and by keeping abreast of government, national and CSCI through research on the internet and through media. Residents confirmed they are consulted on all areas of their lives, from day to day matters, to making difficult decisions regarding life choices. Residents, care managers, families and other stakeholders are consulted frequently by the home regarding quality assurance. The home has robust health and safety procedures, and has a good record of meeting health and safety requirements and legislation. Residents are aware of potential hazards in the home, and feel confident that the owners will keep them safe. Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 N/A 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 23 No 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. 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 Lyncol House DS0000029060.V334464.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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