Inspection on 06/06/07 for Lyndale

This inspection was carried out on 6th 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

Lyndale 11/12/05

Lyndale 05/09/05

Lyndale 08/12/04

Lyndale 08/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Lyndale 60 Green Lane Featherstone West Yorks WF7 6JX Lead Inspector Tony Railton Key Unannounced Inspection 6th June 09:00 Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 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 Lyndale DS0000006196.V333428.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. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndale Address 60 Green Lane Featherstone West Yorks WF7 6JX 01977 792433 01977 705446 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) Mr James Stephen Hunt Mr James Stephen Hunt Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate 3 named service users with learning disabilities over the age of 65 years within a total of 18 places. (Category LD(E)) 11th December 2005 Date of last inspection Brief Description of the Service: Lyndale is a residential care home for 18 adults who have a learning disability. It is situated in a residential area of Featherstone and all the local amenities including Post Office and supermarket are within walking distance. The home is on a main bus route and the rail station is nearby. The care and support provided are based on ordinary living principles and people using the service are encouraged and supported to live as ordinary a lifestyle as possible. Some people attend Local Authority run day services. Within the grounds is a resource centre called The Links. The Links allows service users to take part in various activities such as crafts, computer training, home cinema and health and exercise. On 16 June 2007 the providers said that the fees for living in the home are £373. Information about the service and the CSCI can be obtained from the home. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the service commenced at 09.00 hours and ended at 13.00 hours. During this visit there was the opportunity to speak to people using the service, the manager, owner and care staff. There was also the opportunity to look at a sample of six case records of people using the service and this included assessments, care plans, reviews, daily and medical records. Six staff records were also seen and included application forms, references, police and POVA checks and training records. Also looked at were eight returned CSCI relatives’ surveys showing what they think of the services provided. People using the service returned nine surveys and this information was also considered. This was a very positive visit and the inspector would like to take the opportunity to thank the people using the service for their hospitality, patience and co-operation throughout the visit. What the service does well: The assessments completed by the home are very comprehensive and detailed and give support workers information to make sure that people’s needs are met. Staff are trained in how to support people who have learning disabilities to make sure they are safe and properly cared for. One relative said that the home is a “very happy place” where people are “well looked after”. Another said that it’s like “one big happy family” and that staff are “wonderful”. Another relative said that they have “never had any reason to complain”, and that the “the care provided is excellent”. The home’s documentation shows that people using the service are supported and encouraged to use ordinary community based leisure services and to live as ordinary a lifestyle as possible. A relative of one of the people using the service said that “the home provides a caring environment and a good range of equipment and activities for residents” and that they “have always found the manager to be approachable and communicates well with residents and relatives”. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 6 The care plans and daily records show that people using the service are fully involved in the running of the home and make decisions about how they live their daily lives. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Lyndale DS0000006196.V333428.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 Lyndale DS0000006196.V333428.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): 2 People are fully involved in their assessments, which reflect and show how they want to live their lives. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People using the service have their personal needs identified in their assessments which are very detailed and include their likes, dislikes, choices and preferences. The assessments tell staff how people prefer to be supported and cared for. Discussion with staff shows that they have a very good understanding and insight into the needs of people using the service. The returned CSCI surveys show that relatives are involved in the assessment process to make sure that people’s care needs are identified and fully met. One relative said that they “looked at many places for their relative and Lyndale was the only one that met their needs and where I thought they would be happy”. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People are supported and assisted to live as ordinary a life as possible and to take risks in the pursuit of living an independent lifestyle. People using the service experience excellent quality outcomes in this area. We have mad this judgement using a range of evidence including this visit to the service. EVIDENCE: The assessments, care plans and reviews show that people are fully involved in every aspect of their lives and that they have a say in what happens to them. The daily records use descriptive words to reflect and show people’s choices, preferences , likes and dislikes. The returned CSCI surveys show that people are very happy living in the home and that their individual care needs are met. Discussion with people using the service confirmed this. One person said that they are “very happy living in the home and that they liked the people caring for them”. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 10 The returned relatives’ surveys show that they are very happy with the care and support provided and that they are also involved in making sure people’s needs are met. One relative said that the care received by their relative is wonderful, another said that all their relatives care needs are met. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 and 17 People have a say in how they live their lives and have opportunities for personal development and their rights respected in their daily lives. People using the service experience excellent quality outcomes I this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The daily records show that people make decisions about what they do and how they live their lives. The record of activities and care plans show that people can choose from a range of community based activities or participate in those offered by the service. These include gardening, use of the mini gym, the home cinema system, the computer room, or arts and crafts. People were observed enjoying many of these activities. One person said that they “loved gardening” and was pleased to show the tomatoes, rhubarb, potatoes and radish they had helped to grow. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 12 The returned CSCI surveys show that relatives and people using the service are happy with the services provided. One relative said “I talk to lots of people and they say what a lovely home this is and how well everyone is looked after. They are surprised at all the holidays the residents go on”. The minutes of the residents’ meetings show that some people had chosen to go to Spain this year for their holidays. One person said that the holiday was “great” and that they have had a “really good time”. Photographs displayed around the home showed that people had also enjoyed trips to the coast to the caravan and other outings. The menus show that people are offered a varied and balanced diet and the returned surveys show that relatives and people using the service are happy with the meals provided. The daily records reflect and show people’s choices and preferences with regard to having a menu of their choice. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 13 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): 18,19 and 20 People have a say in the way they are supported and cared for and ordinary community based healthcare services meet their individual needs. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The manager said that people are supported and encouraged to use ordinary community based healthcare services as part of living an ordinary lifestyle. This was confirmed by the medical and daily records, which also show that people’s healthcare needs are fully met. The returned CSCI surveys show that people using the service and their relatives are happy with the care and support provided. The medication systems were checked and found to be safe and to protect people using the service. Staff records show that they are trained in how to administer medicines safely and correctly. Discussion with staff found them to have a good understanding of the healthcare needs of the people using the service. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 14 A telephone conversation with one relative found that they are very happy with the care and support provided by the home. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 15 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): 22 and 23 People using the service, and their relatives, feel that their views are listened to and acted upon. People are protected from abuse, neglect and self-harm. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: Information received before the visit shows that the home has not received any complaints or had any safeguarding referrals. The manager confirmed this. The returned surveys show that people using the service, and their relatives, know how to make a complaint but have never had to do so. One relative said that they “have no need to make a complaint as the care is excellent”. Another said that they “do not think anything can be improved as everything that needs doing on a day to day basis is being taken care of”. Discussion with staff found them to have a good understanding of what constitutes abuse and how to report it. Staff training records showed that, for the protection of people using the service, all staff received Protection of Vulnerable Adults (POVA) training. There is a robust staff selection and recruitment policy, which includes taking references and police and POVA list checks before staff are employed. Staff records show that people using the service are safeguarded and protected by the recruitment policy and practices. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 16 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): 24 and 30 The service provides a safe and comfortable environment which suits people’s needs and lifestyles. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: A tour of the premises found it to be well decorated and well maintained and safe. All areas were observed to be clean and free from any unpleasant odours. People were observed relaxing in a comfortable homely environment, which they consider to be theirs. One person using the service said that they “love their room” and another was observed relaxing watching her widescreen television. The daily records show that people using the service have a say in what they do and how they live their lives, this includes choosing their colour scheme and furniture for their own space. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 17 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): 32,34,35 and 36 An effective staff team who are competent, qualified and supervised, supports people using the service. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: Discussion with care staff found them to have a good understanding of the needs of the people using the service. Staff records show that all staff receive Learning Disability Framework Award training to give them a better understanding of the needs of people with learning disabilities. One relative writes that “Mr and Mrs Hunt and all the staff give excellent care to all residents in the home”. Another said that “the standard of care is very good”. A relative also said that the “staff appear to be very caring and confident”. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 18 The minutes of the staff meetings show that staff have the opportunity to comment on the running of the home. People using the service are supported and cared for by staff that are trained and supervised. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 19 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): 37,39 and 42 People using the service live in a well run home where they know they have a say in what happens and where they know they are safe. People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: One relative says that “Lyndale provides a caring environment and a good range of equipment and activities for residents and we have always found that the owner is approachable and communicates well with residents and relatives”. Another writes “Lyndale is a very happy place where residents are well looked after”. People using the service said that they “liked living in the home”, “liked the staff, they are good”. Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 20 The minutes of the residents’ and relatives’ meetings show that they have the opportunity to comment on the running of the home. The development plan shows that comments made by people using the service and their relatives are used to change the way the home runs. One relative, when asked what the home does well, said that “Lyndale is a well run home with love and care”. Another, when commenting about what could be improved in the home, said” I do not think anything can be improved, everything that needs doing on a day to day basis is taken care of”. The health , safety and well being of people using the service is promoted and they are protected by the health and safety policies and practices. Staff records show that health and safety training is provided along with First Aid, Moving and Handling, Food Hygiene and COSHH (Care of Substances Hazardous to Health). One relative writes”Mr and Mrs Hunt and all the staff give excellent care to all the residents in the home”. Lyndale DS0000006196.V333428.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 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 4 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 3 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 4 35 4 36 4 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 Lyndale DS0000006196.V333428.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 Lyndale DS0000006196.V333428.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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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