Inspection on 07/12/05 for Lyncol House

This inspection was carried out on 7th December 2005.

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 19/06/07

Lyncol House 16/03/06

Lyncol House 15/02/05

Lyncol House 14/07/04

Lyncol House 23/03/04

Lyncol House 21/10/03

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

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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 Announced Inspection 7th December 2005 10:00 Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 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 Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V265863.R01.S.doc Version 5.0 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.V265863.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2005 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, semi 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. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on December 7th 2005. Both owners and one service user was present throughout the inspection. The inspector spent the first half of the inspection with the service user, who spoke about the home and the services it delivers. A tour of the home was conducted, and policies, procedures and care plans were read. What the service does well: What has improved since the last inspection? What they could do better: There are no recommendations. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 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. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 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.V265863.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Service users can be confident that their individual aspirations and needs are assessed and met. EVIDENCE: The inspector had a long discussion with a service user about aspirations and needs. She spoke about what was important to her; finding a job, having friends, enjoying a social life, going on holiday, keeping in contact with family and friends, being happy, and living in a house that feels like a real home. The service user described how Lyncol House assists her in realising these aspirations, and described a lifestyle that is full of the things she finds important. The owners of Lyncol House demonstrated, through documentation and discussion how they assist all individual service users to lead lives as close to their aspirations and needs as is possible. All service users undergo initial assessments which form the baseline of care and support provided. These assessments are reviewed frequently with the service user. It was clear from discussions with the owners and the service user that every effort is made to enable service users needs being met. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Service users know their assessed and changing needs, make informed decisions about their lives, and are supported to take risks as part of an independent lifestyle. EVIDENCE: A service user spoke to the inspector about their care plan. She spoke highly of the home owners, indicating they were responsive and knowledgeable about the service user’s changing needs, and did all they could to guide the service user in making choices and decisions about their life. The service user added that she felt listened to and are confident that the owners provide enabling and empowering responses, and will, if necessary, and with the service user’s knowledge and permission, seek outside multi-disciplinary input. The service user spoke a lot about different types of decisions she makes, indicating that some decisions are made with her fellow housemates, some are made independent of anyone, and some are made following careful consideration and discussion with the home owners. Again, she spoke highly of the homeowners and clearly values their input and advice. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 10 Care plans were inspected and all included detailed risk assessments. There was evidence of review and monitoring of risks, and all assessments involved the service user providing input. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13. Service users can be confident that by living at Lyncol House they will be encouraged and assisted in maximising opportunities for taking part in appropriate activities, and being part of the local community. EVIDENCE: All service users have individual weekly timetables which include participation in a range of activities, most community based. It was clear through reading the weekly timetables and in speaking to the home owners and a service user, that the home is proactive in encouraging a supporting service users to lead valuable fulfilling lives and to be active members of their local community. All three service users have very individual timetables, based around their needs and aspirations. Activities include; attending a day centre, going to work, attending college courses, going to a range of evening clubs, attending church, shopping and banking. Levels of support required to enable these activities to go ahead are individually assessed and noted on care plans. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These Standards were not inspected. EVIDENCE: Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users can be confident that their care is enhanced by an open, transparent and accessible complaints procedure, and that the home’s policies, procedures and training protects them from abuse, neglect and self-harm. EVIDENCE: The inspector asked a service user about concerns and complaints. The service user described fully what she would do if she did have a complaint, this included talking to the owners about a complaint, and expecting them to ‘sort it out’ for her. The service user added that she had never been in that position at Lyncol House, but had occasions where she had talked over worries with the owners and has always felt listened to and cared for. The owners of the home are knowledgeable in all aspects of adult protection. They have attended recent training on the subject and feel confident in their skills. The home has its own adult protection procedures and also refers to the Kent and Medway multi agency adult protection procedures. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Service users at Lyncol House can be assured of living in a homely, clean, comfortable and safe environment. EVIDENCE: A service user guided the inspector around the communal areas of the home and her bedroom. The service user was notably very proud of her home, and would often draw attention to a décor feature, a piece of furniture, or comment on the warm and cosy temperature. She told the inspector that she ‘loved living here’ and felt it was a ‘lovely home, always tidy and warm and we have a good time here’. The home was indeed tidy and warm. But more than that, it felt homely, lived in, and had a warm and friendly atmosphere. The owners have made great efforts in creating a family home while also catering to individual needs and providing a safe environment. The home is spotlessly clean and hygienic. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable as Lyncol House does not employ any staff. EVIDENCE: Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39. Service users benefit from living in a well run home which values and invites service users’ views. EVIDENCE: The clear contentment and happiness of service users, the competent and experienced owners, and comprehensive care planning, policies, procedures and training programmes, all point to a conclusion of a well run home which puts service users needs first. Conversations with a service user and the home owners evidence an atmosphere of openness, trust and transparency which promotes an environment in which the direction of care and support is led by the views, needs and wishes of service users. Lyncol House DS0000029060.V265863.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 4 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 4 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lyncol House Score X X X X Standard No 37 38 39 40 41 42 43 Score 4 X 4 X X X X DS0000029060.V265863.R01.S.doc Version 5.0 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. 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.V265863.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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