Inspection on 22/02/07 for Lyndhurst & Albany

This inspection was carried out on 22nd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lyndhurst & Albany 20/01/09

Lyndhurst & Albany 17/01/06

Lyndhurst & Albany 06/07/05

Lyndhurst & Albany 01/03/05

Lyndhurst & Albany 22/09/04

Lyndhurst & Albany 09/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Lyndhurst & Albany Maitland Terrace Newbiggin By The Sea Northumberland NE64 6UR Lead Inspector Bill Middlemist Key Unannounced Inspection 22nd February 2007 09:45 Lyndhurst & Albany DS0000000668.V314253.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 Lyndhurst & Albany DS0000000668.V314253.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. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndhurst & Albany Address Maitland Terrace Newbiggin By The Sea Northumberland NE64 6UR 01670 - 812714 01670 812714 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) www.c-i-c.co.uk. Community Integrated Care Mrs M Mason Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 persons are over the age of 65 years Date of last inspection 17th January 2006 Brief Description of the Service: Lyndhurst & Albany provides a home and care for up to 7 adults with a learning disability. Nursing care is not provided. The house is a bungalow style. It has two distinct parts, both having a lounge, separate kitchen/dining area, bathroom and shower room and bedrooms. One part is known as Lyndhurst; the other as Albany. Three residents live in Lyndhurst and four in Albany. Each resident has a single bedroom. A central corridor and an office, which is also used as a bedroom for staff who sleep on the premises, link the two parts of the home. The home has been designed with the needs of people who have physical disabilities, in mind. There are aids and adaptations in place, including assisted baths and a hoist tracking system. The house has a large garden to the rear and sides of the building and ample car parking space at the front. It is located close to the centre of Newbiggin-by-the-Sea, which has shopping and leisure facilities. The home is close to bus routes. It is run by Community Integrated Care, a national registered charity, which also rungs several other services in the North East of England. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and lasted for four hours. The inspection included looking at assessments, care plans and risk assessments. All shared areas in the home were toured to see if they are safe, comfortable and clean. Staff were observed supporting people. The manager was available throughout and explained what has improved and what is going to be done better. Three people returned questionnaires about the home. What the service does well: 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. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 6 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 Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 7 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person has had a range of assessments so that the manager and staff can develop detailed care and support plans. EVIDENCE: Each person has a care assessment dating from when they first arrived at the home. There are additional assessments, for example behavioural and nutritional, carried out as a result of changing and emerging needs. Assessments are well detailed and form the basis for key workers to develop care and support plans. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 8 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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service User Plans reflect assessed needs and are evaluated regularly to ensure that people get the care and support they need. The care and support is delivered enables people to make choices in their lives. People are supported to take risks so they can enjoy activities and personal development. EVIDENCE: Three care plans included detailed instructions for staff to deliver care and support. Likes and dislikes are well recorded. Essential routines are written down so that people get a consistent care, and staff sign the plans to say that Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 9 they understand them. The plans promote people’s rights, choices, inclusion and independence as far as possible. There are some indications that with one person inclusion may be limited and this is being addressed through new guidelines and training. The plans are evaluated every month to make sure they are supporting people in their assessed needs. Decision-making is supported by care planning, recording and staff observing people’s reactions and other non-verbal ways of communicating, this was obvious throughout the inspection. The manager has requested support from independent advocacy to support people further in making decisions, but advocates are limited in the area. There are risk assessment and risk management plans to support people in every day tasks and activities; they achieve a good balance between promoting choices and maintaining safety. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 10 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, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person has opportunities to take part in activities that suit them, so they are offered stimulation. Each person is part of the local community and this promotes inclusion. Each person is supported to keep have relationships that suit them, so that they can keep in touch with relatives and friends. Each person has their individual rights recognised, so that dignity and privacy is promoted. Meals are well planned so that each person gets nutritious and enjoyable food. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care plans and other records indicate that each person regularly gets out to enjoy a variety of activities that include being part of the local community. Each person is able to continue to have a suitable range of relationships. Staff offer support to people to keep in contact people who are important to them. Individual rights are well promoted both inside and outside of the home. Staff enable people to access and use local services in a way that promotes an ordinary life in the community. The home has a rotating menu to ensure that people get a varied diet. There is a strong element of choice, and staff can depart from the menu if individual preferences dictate. Those people who have specialist diet requirements or who need assistance to eat get the support they need. One member of staff was especially sensitive and supportive when assisting one person eat at lunchtime. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person gets the personal support they require so that their dignity and comfort is maximised. Each person’s physical healthcare needs are met. The way the home deals with medication makes sure that each person’s health is promoted and protected. EVIDENCE: The home works well to offer people the support they need to maintain comfort, individuality and dignity. Care plans for moving and handling and other personal care routines are detailed for each person. The people living at the home looked well groomed and dressed. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 13 The home works with a number of healthcare professionals to ensure that each person is supported to be as healthy as possible. The home is good at promoting people’s rights in accessing healthcare, and the manager is aware of how the new Mental Capacity Act will strengthen this support further. All people are reliant on care to staff to administer medication in line with the home’s medication policy and procedure. Records were examined and a spot check made on a limited number medications: all those inspected were in order with a clear audit trail. Staff have received the right training in order to deal with medication. All medication is stored in line with pharmacy guidelines. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person’s views are listened to so that they get the care and support they need. Each person is protected from abuse and neglect, and plans are in place for staff to understand challenging behaviours only as a way of communication. EVIDENCE: The home has an effective complaints procedure that details action to be taken in the event of a complaint being made, including timescales, and ensures that people will not be victimised for making a complaint. Three residents returned questionnaires. Each person indicated that they are happy living at the home, and that staff are supporting them in a way that suits them. No one made negative comments. The manager has an up to date knowledge of how to protect vulnerable adults and is aware of local policy and procedures. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 15 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person lives in a comfortable and safe environment, but some furniture could be more homely and comfortable. The home is clean and hygienic. EVIDENCE: The home provides a nice spacious place for people to live. People can choose from shared lounges or spacious bedrooms. There are two lounges and two kitchens. The kitchens are well equipped. The lounges include some chairs and settees that look somewhat institutional and this was discussed with the manager. The manager will discus furniture requirements with the local fire service. All shared areas such as bathrooms Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 16 and kitchens are safe and clean. The floor in one bathroom is warped and replacing it is strongly recommended. Everywhere was clean and hygienic. One person was unwell during this inspection and staff were observed barrier techniques when providing personal care and support. Lyndhurst & Albany DS0000000668.V314253.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff support each person and plans are in place to provide training in challenging behaviour. The home follows CIC’s corporate recruitment procedures so that each person is protected as far as possible. EVIDENCE: The overall evidence is that people living at the home are well supported by a competent staff. Staff are provided with the training and support they need to carry out their jobs to a good standard. There was some evidence that strongly suggested some staff do not understand challenging behaviours solely as a Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 18 means of communication, therefore some aspects one person’s needs are not being met by all staff. The manager has already identified this and has organised in-house training to address this. Staffing records are well kept and include the necessary checks that help protect vulnerable adults. The manager involves the people living at the home to choose new staff as part of the recruitment procedures. Lyndhurst & Albany DS0000000668.V314253.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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified and experience so that each person benefits from a well run home. A new quality assurance system is being introduced to make sure that the views of people living and working at the home are recorded and acted on. Regular health and safety audits take place to promote safety for the people living and working at the home. EVIDENCE: Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 20 The manager is properly qualified and uses her experience to make sure that people using the service get the support they require. She has a very clear understanding of each person living at the home and is forward thinking in her management style. The manager is also very aware that staff need the right kind of support, supervision and training to provide a good quality service, and takes all reasonable steps to provide this. CIC have a new quality assurance audit tool that gathers the views of people who live at the home, as well as the view of those who work there. This is a wide-ranging document that covers National Minimum Standards and the learning disability white paper “Valuing People”. A very complimentary letter from a healthcare professional has been received recently. There are regular health and safety audits that promote safety and comfort for people living and working at the home. The Fire Log is well kept and up to date. Records of cleaning, repairs and maintenance are well kept. Lyndhurst & Albany DS0000000668.V314253.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 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Lyndhurst & Albany DS0000000668.V314253.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. 1. Refer to Standard YA24 Good Practice Recommendations Replace the warped bathroom floor. Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. Extracts may not be used or reproduced without the express permission of CSCI Lyndhurst & Albany DS0000000668.V314253.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!