Inspection on 13/02/06 for Lyndhurst Park Nursing & Residential Care Home

This inspection was carried out on 13th February 2006.

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 Park Nursing &... 18/12/06

Lyndhurst Park Nursing &... 24/10/05

Lyndhurst Park Nursing &... 24/03/05

Lyndhurst Park Nursing &... 26/07/04

Lyndhurst Park Nursing &... 04/03/04

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

CARE HOMES FOR OLDER PEOPLE Lyndhurst Park Nursing & Residential Care Home 33-35 Severn Road Weston Super Mare North Somerset BS23 1DW Lead Inspector Patricia Hellier Unannounced Inspection 13th February 2006 05:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lyndhurst Park Nursing & Residential Care Home Address 33-35 Severn Road Weston Super Mare North Somerset BS23 1DW 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) 01934 627471 01934 627518 Mrs Margaret Ann Butcher Mr Gordon Butcher Mrs Margaret Ann Butcher Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (1) of places Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 27 persons aged 65 years and over, who require nursing care Manager must be a RN on part 1 or 12 of the NMC register May accommodate one person between 50 - 64 years of age, with Physical disabilities who may require nursing care. 24th October 2005 Date of last inspection Brief Description of the Service: Lyndhurst Park Nursing and Residential Care home is situated in a quiet residential area of Weston-Super-Mare to the south of the town. The sea front is only a short walking distance away with a park and bowling green nearby. It is within close to proximity to some local shops and amenities. The building and décor is of a high standard providing a comfortable and homely environment. Accommodation is provided over two floors with a passenger lift giving easy access to all floors. There are twenty six single rooms, and one that may be shared. Some of these have en-suite facilities and all have a call bell system. Communal space is provided in 2 lounges and a dining room in the main building, and a recently built conservatory. This includes a water feature and pond and is much appreciated by the residents. Provision is made within the home for a variety of activities and outings, which also enable close links with the local community to be maintained. All local facilities are within easy walking distance but some are closed in winter. Mr and Mrs Butcher are the proprietors of this family run home and are very involved in the day-to-day running of the home. Mrs Butcher is also the Registered Manager Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours with two inspectors. The Registered Provider and Manager Mr and Mrs Butcher were present for part of the inspection. The inspection was also incorporated an investigation into a complaint. The complaint was not upheld. The inspectors looked around the whole of the building and inspected a number of records and spoke with residents and staff. The inspection focussed on the residents’ experience of the home; the care given and the way in which it is provided, to make sure residents are comfortable and care is being given to meet their needs in the best possible way. The inspector checked the medication records, and inspected 3 resident care files. Some of the home’s policy and procedure files and risk assessments were inspected. All residents and staff spoken with told the inspectors that the home was very good and the staff very kind. Comments included “we can chose when to get up and go to bed”; “I like to get up early”; “staff are very kind”. What the service does well: What has improved since the last inspection? Staff have received training in Adult Protection and abuse and now have the knowledge to act to safeguard residents should the need arise. Employment records have been reviewed and all records now contain required information to safeguard residents. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 6 The laundry floor is in the process of being renewed to reduce the potential for spreading infection. 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. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. See previous report. EVIDENCE: Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The health, personal and social care needs of residents is well met. There is a good rapport between residents and staff. Personal and environmental risks are well managed. Medication administration and storage systems require attention to ensure safe practice. Respect and dignity are well maintained by kind and caring staff. EVIDENCE: Residents consulted during the inspection said that they were very happy with the standard of care in the home. One person commented that ‘the staff look after me very well. They know what they are doing’. Several others said that the staff were very good, ‘always polite and smiling’. All the residents observed were well dressed in appropriate clothing. Several people were nursed in bed. They looked comfortable, and had been provided with suitable pressure relief equipment. All had easy access to call bells and drinks. Care records contained a very thorough assessment of the needs of residents. In the majority of cases, a specific care plan had been written for each area of identified need. These care plans had been reviewed regularly, and showed Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 10 evidence of good practice. In four care plans inspected wound care plans were satisfactory but did not contain drawings of wounds with approximate size. This is recommended as good practice to monitor the effect of treatment and progress. The medication administration records were well maintained. The system for administration of medicines did not provide all the safeguards necessary for the protection of residents. The manager explained to the inspectors she had recognised this and that a new system was to be implemented shortly. In discussion about the medication storage and administration system the inspector suggest that the pharmacist inspector visit, to assist the home in ensuring the new system is robust and provides all necessary safeguards for the safe handling storage and administration of medicines. The manager thought this would be helpful. Medication records inspected had only one signature for hand written entries. Two signatures are recommended for the safeguarding of residents. Good practice was seen in the recording of a residents pulse prior to the administration of Dioxin. The pharmacist inspection report will be available on request following the visit. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Routines of daily living are flexible giving residents choice in how to spend their day. There is access to a very wide range of activities. Visitors are actively welcomed. The standard of food in the home is good with choices available at all meals. EVIDENCE: An excellent range of activities is provided with posters displaying information of forthcoming events throughout the home. One resident was seen with all her hand made toys in her room, which she said, kept her busy. She said she was kept busy with requests from relatives and staff who like them to give as presents. Residents said visitors are welcomed at any time. Choice and preference is well respected. Four residents spoken with said they could choose when to get up and go to bed. One resident said they “did not feel they had the choice to lie in bed, but acknowledged they had not asked to do so”. There was a choice of breakfast cereal, and other items available. Residents were seen choosing the time and place to have their breakfast. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The complaint procedure in the home is satisfactory, although some information in it needs updating. Staff demonstrated a good awareness of adult protection issues. EVIDENCE: Mrs Butcher said that no complaints have been received since the last inspection. Residents said that they would speak to the staff if they had a concern. The complaints procedure contains outdated information and staff and residents were unaware of its contents. The manager stated she would update and re-circulate it to all staff and residents. The manager and provider are considering displaying it in the home. A copy of the local ‘No Secrets in North Somerset’ guidance was available in the home. Staff consulted demonstrated a good awareness of adult protection issues. Residents spoken with said the staff “were lovely”, always helpful”. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 Residents are provided with safe, comfortable surroundings in a well maintained building. EVIDENCE: The property is well maintained, with homely and comfortable communal spaces. The living accommodation is well decorated and homely. The ambient temperature was warm and comfortable. Residents’ rooms are personalised and comfortable. Residents stated they liked the home. One resident who had risen early said she liked the company of the budgerigars in the sitting room. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 Observations and comments from residents indicate that staffing levels are appropriate. The procedures for the recruitment of staff are satisfactory and provide the safeguards for the protection of people living in the home. EVIDENCE: Residents spoken to said that the staff were “kind and caring” and “always there to help”. During the visit staff were observed spending time with residents and call bells were answered quickly. The number of care staff on duty was adequate to meet the needs of those accommodated. Ancillary staff that prepared meals and undertook domestic duties supported them. Recruitment procedures are robust and both files inspected contained the required documentation to ensure safeguards are maintained for the protection of residents. All staff interviewed stated they had contracts of employment and job descriptions. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, The manager is well qualified and provides clear leadership and guidance to staff. Residents receive consistent care in a safe environment. The system for residents’ consultation is clear and residents feel their views are heard and acted upon. EVIDENCE: The manager is well qualified and competent to do the role. She gives clear leadership, guidance and direction to staff. Residents and staff stated that the manager is, approachable and seeks to ensure all their needs are met. Residents felt that their views are asked for and acted upon. A formal process of an annual questionnaire is completed and results fed back to residents. The provider informed the inspectors that work is in progress to fit a thermostatic valve at the water tank outlet, to ensure water temperatures are regulated at 43°C to prevent the potential for scalding to residents in their rooms. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X 3 3 Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 17 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. 1. 2 3. Refer to Standard OP9 OP9 OP16 Good Practice Recommendations To ensure two members of staff sign hand written entries on Medication Administration Records. The implementation of a new system for the safe storage, handling and administration of medicines To update the information contained in the complaints procedure and ensure all residents, staff and relatives are aware of its contents. Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. Extracts may not be used or reproduced without the express permission of CSCI Lyndhurst Park Nursing & Residential Care Home DS0000020359.V283298.R01.S.doc Version 5.1 Page 19 - 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. 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