Inspection on 20/07/05 for Lyndon Rest Home

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lyndon Rest Home 30/01/09

Lyndon Rest Home 14/02/07

Lyndon Rest Home 15/03/05

Lyndon Rest Home 14/04/04

Lyndon Rest Home 29/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lyndon Rest Home 79 Bury Road Tottington Bury BL8 3EU Lead Inspector Stuart Horrocks UnAnnounced 20 July 2005 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 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. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lyndon Rest Home Address 79 Bury Road Tottington Bury BL8 3EU 01204 885124 01204 885124 Telephone number Fax number Email 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 Mary Galvin Mrs Mary Galvin CRh Care Home 16 Category(ies) of OP Old Age : 16 Places registration, with number of places Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 16 service users, to include: Up to 16 service users in the category of OP (Older People). The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. Date of last inspection 15 March 2005 Brief Description of the Service: Lydon is owned and managed by Mrs Mary Galvin . The home can provide 24 hour care for up to 16 older people. The home is on Tottington Road Bury and is about one mile from Tottington town centre. There is a bus stop on the main road close to the home. The accommodation is provided on two levels with two stair lifts giving access to the first floor. The home has six single bedrooms and five rooms that are shared. There are two well furnished and comfortable lounges,a dining room and a conservatory that can be used all year round. Toilets are provided on both floors and there is a shower on the ground floor and a bathroom on the first floor. There is a garden area with seating that can easily be reached from the conservatory. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unarranged and took about 6 hours. Much of this time was spent watching what went on (including playing a game of Bingo with the residents), talking at length to three residents and a visitor, talking more briefly to four other residents and also interviewing three staff. The inspector also looked around some parts of the building, looked at some of the home’s paperwork and spent some time talking to the manager. What the service does well: What has improved since the last inspection? New carpets have been fitted in the bedrooms of three residents and improvements to the electrical wiring is now almost completed. The recruitment of staff is better although one part of this still needs some attention. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 6 The manager has made some progress in making sure that the things, which needed to be made better from the last inspection, have been done. These included some training for staff and some health and safety matters. 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. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 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 standard(s) 3 and 5. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. The home does not provide intermediate (rehabilitative) care so this Standard (6) does not apply. EVIDENCE: The records of the last three residents admitted to the home showed that their needs had been fully assessed before they came to live at the home. From this information the home was then able to decide whether these people’s needs could be met and a care plan was then put together. The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. The manager usually visits new residents either at home or in the hospital as a part of the assessment process. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 9. Care plans and most risk assessments were in place but these need to be regularly reviewed therefore making sure that the staff have the up to date information they need to meet the residents needs. The medication arrangements are generally well managed thus ensuring that residents receive their medicines as prescribed. EVIDENCE: Three care plans were looked at including one person who had been recently admitted to Lyndon. Each plan contained details of health and personal and social care needs for the resident. Two of these care plans had been reviewed and updated at the required monthly interval whilst one had not been reviewed for some months. The manager must ensure that care plans are regularly reviewed monthly. The residents or their families had signed their agreement to the care plan. The staff said that they regularly looked at the residents care plans and were therefore well aware of their needs. The care plans are readily available to the staff. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 10 Various risk assessments were in place but not all of these were up to date and one resident did not have a nutritional risk assessment. Risk assessments must be regularly reviewed and updated and all residents must have a nutritional risk assessment done regularly. The weight records for eight residents were checked; four of these were up to date whilst the others were not. All of the residents must be weighed regularly as this is an easy method of monitoring their wellbeing. Discussion with the manager, the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. Most medicines are provided by the chemist in individual made up packs with some being provided in bottles. All of the medicines were seen to be properly and safely stored. All medicine when given is recorded on the residents’ drug sheets, these records were properly filled in and they were up to date. When medicines are delivered to the home they should be checked and “signed in”. This record had not been filled in for the current month’s supply; the manager must make sure that this record is always completed. Those staff who give out medicines have been given the necessary training for this task. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 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 standard(s) 13 and 15 The visiting arrangements are flexible thus enabling residents to have good contact with family, friends and the local community as they please. The meals at this home are good, offering choice and variety, and catering for individual dietary needs. EVIDENCE: Discussion with residents and staff confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Residents said that “they can see their visitors in their rooms” if they so wish. An afternoon visitor was seen to be made welcome and this person said “that they could visit whenever they wanted to”, and that no restrictions were imposed. The menu offered a variety of good nourishing food. This menu provides a single choice but alternatives are readily available and are regularly provided. This is a relatively small home where individual choices are easily catered for. This was confirmed by the residents who said that the food was “good”, “excellent”, that “you get enough to eat” and that “there is a choice”. Everyone spoken to praised the food and no complaint was made. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 12 A choice of hot and cold drinks and snacks are available throughout the day. Meals were seen to be presented in an appealing manner with good portions offered. They are eaten in a comfortable and attractive dining room. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16 and 18 The home has a clear complaints system ensuring that concerns are speedily dealt with. Protection of vulnerable adults guidance is available and staff training in this topic ensures residents are protected from abuse. EVIDENCE: The home has a straightforward complaints procedure, which is displayed in the home and is also available in the resident’s information guide. A book for recording complaints is kept at the home. No complaints have been made either to the manager or the CSCI since 2002. The residents said they felt that any concerns that they had would be listened to and acted upon. A number of residents said that they knew what to do and would feel comfortable about raising concerns, and one person said that they would “talk things over with Mary” (the manager) if necessary. The relative that the inspector spoke with also said that they would have no anxiety about raising concerns with either the manager or the staff although this person said that they were “extremely satisfied” with the care provided. It was clear in discussion with staff that they also knew what steps to take should a resident make a complaint. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 14 There are written procedures covering adult protection and whistle blowing. Four of the staff had been attending adult protection training during the week of this inspection. The staff interviewed were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. The inspector and the manager talked about the home obtaining a copy of the local inter-agency adult protection policy, which it was agreed would further support the homes existing policies. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19 and 26. Lyndon care home provides safe, clean, comfortable, homely and friendly surroundings for the people living there. EVIDENCE: Lyndon is well maintained both to the inside and to the outside. Electrical re-wiring of the home was taking place at the time of this visit with the work being almost finished. When this is completed some redecoration will be needed. Redecoration and replacement of furniture and equipment etc is done on a continuous basis. Three bedrooms have recently had new carpets fitted. There is a well-kept garden area at the side of the home that is easily accessible from the conservatory, which is provided with seating. The home has acted upon any recommendations made by the local fire service and environmental health department thus everyone’s ensuring safety. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 16 The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30. Staffing levels are satisfactory therefore ensuring that the residents are properly cared for. The recruitment method is generally good enough to ensure that the residents are looked after by staff who are suitable to carry out care work. Staff training is on the whole sufficient to make sure that the residents are provided with a good standard of care. EVIDENCE: Many of the staff team have worked at the home for a considerable time, and there is little staff turnover and sickness. This ensures that residents are cared for by people they know and are familiar with. Staff morale was good with staff saying that “there is a good team spirit” and that “we work together well as a team”. Both residents and staff said that Lyndon was a “happy home”. On the day of this inspection enough staff were on duty to meet residents care needs. Rotas showed that staff were regularly available in sufficient numbers to ensure that care was properly provided. The staff and the manager said that in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. Although the staff were busy they had time to talk to the residents and they had a comfortable and friendly understanding with them. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 18 A requirement of the last inspection was that the staff recruitment systems must be improved. This has now been attended to with checking of the files of the two most recently recruited staff showing that they had been properly recruited apart from their police checks, which although fairly recent had been done at their previous place of work. Police checks cannot be transferred between employers; they must be done again when staff are newly employed. Staff gave examples of the training that they had done. These included safe moving and handling, fire safety, food hygiene and first aid. The provision of this training was confirmed when looking at staff training records. A requirement of the last inspection was that new staff must be given approved (i.e. the “Skills for Care” organisation) induction and foundation training. The home does have an induction checklist for new staff, which although useful does not meet all of the required parts. The inspector gave the manager advice and written information regarding the above induction and foundation training. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 The home is well run by a competent and capable manager who provides proper leadership and support for the staff to ensure that the residents receive a good standard of care. Safety checks of equipment and staff training generally promotes the health and welfare of the people living and working at the home. EVIDENCE: The manager (Mrs Galvin) is a Registered General Nurse with many years of experience of working with older people including 8 years of owning and running Lyndon on a day-to-day basis. Mrs Galvin is currently doing the NVQ Level 4 Registered Managers Award, which she expects to complete in October 2005. Discussion showed that Mrs Galvin knows the residents and the staff well. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 20 Residents, relatives and staff hold the manager in high regard. A visitor said that the Mrs Galvin “puts a lot of herself into the care” and the staff said that she is “easy to talk to” and that she “listens and is approachable” The home is safely maintained with fire precautions tests done weekly and details of accidents properly recorded. Three requirements regarding health and safety that were made at the time of the last inspection have all been dealt with. The checking of records and maintenance certificates showed that these were up to date apart from those for the home’s two stair lifts. The manager said that these documents were not at Lyndon but were in a file at her home. The inspector asked the manager to send copies of these servicing certificates to the CSCI. As mentioned before the home is currently being rewired. The certificate for the electrical services and appliances will be renewed when the rewiring work is completed. These certificates will be checked at the next inspection. Records and discussion with the staff showed that the training required to allow them to work safely had been provided. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 2 Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 22 Yes 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. 1. 2. Standard 7 8 Regulation 15 12 Requirement The residents care plans must be reviewed and updated at the required monthly intervals. The residents risk asessments must be reviewed and updated regularly and all residents must have a nutritional risk assessment in place. All medicines must be checked and recored as they are received by the home. Criminal Records Bureau checks must be completed for all staff at the time of their employment. The registered person must continue to develop staff induction and foundation training that meets the Skills for Care (Previously TOPPS) specification. (Previous timescale of 31st July 2004 not met) The manager must forward copies of the servicing cerificates for the homes two stair lifts to the CSCI. Timescale for action 31st August 2005. 31st August 2005. 3. 4. 5. 9 29 30 13 19 18 31st august 2005. 31stAugust 2005. 30th September 2005. 6. 38 23 31ST August 2005. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 23 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 18 Good Practice Recommendations The manager should obtain a copy of the local interagency adult protection policy thus reinforcing the homes existing procedures. Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton BL6 6HG 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 Lyndon Rest Home F56 F06 S8413 Lyndon V232317 200705 Stage 4.doc Version 1.40 Page 25 - 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. 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