Inspection on 22/03/07 for Lynshaw

This inspection was carried out on 22nd March 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

Lynshaw 28/01/06

Lynshaw 05/09/05

Lynshaw 28/02/05

Lynshaw 16/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Lynshaw 1 Hart Street Carlisle Cumbria CA1 2BP Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 22nd March 2007 2:00 Lynshaw DS0000022596.V325425.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 Lynshaw DS0000022596.V325425.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. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynshaw Address 1 Hart Street Carlisle Cumbria CA1 2BP 01228 549967 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lynda Henshaw Mrs Lynda Henshaw Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of MD (Mental disorder, excluding learning disability or dementia under 65 years of age) up to 3 service users in the category of MD(E) (Mental disorder, excluding learning disability or dementia over 65 years of age) up to 3 service users in the category of LD (Learning disability disability) Date of last inspection 28th January 2006 Brief Description of the Service: Lynshaw is a residential care home registered with the Commission for Social Care Inspection to provide accommodation and support to three adults. Lynshaw is managed and owned by Mrs Lynda Henshaw. Mrs Henshaw is also the main carer. The home is in a residential area within walking distance of Carlisle city centre and close to local transport routes. The premises are a large older terraced property. Accommodation is provided in the form of three single bedrooms and shared use of a communal lounge, dining area, kitchen and conservatory. Outdoor space is provided in the form of an attractive enclosed yard to the rear of the home. Mrs Henshaw aims to provide support in a family type domestic environment and the residents live in her family home. Mrs Henshaw offers a homely and caring service. The current fees are paid fortnightly and range from £572 to £634. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This inspection was over a 3 hour period during the afternoon on 22/3/07 and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focused on a 2 of the residents. All records relating to the individuals were examined, along with the rooms they occupy in the home. Residents were invited to discuss their experiences of the home with the inspector. This inspection included discussion with residents and the manager in addition to viewing the home’s required written information such as medication records. The residents written plans of care were also viewed for 2 people. The care Plan is a document outlining the needs of the individual resident and how these are to be met. They cover all aspects of the individual’s life including health, personal care and social activities. Thereby ensuring people are content in the care they receive. The residents the inspectors spoke with were happy with life at Lynshaw. Comments included `It’s lovely here, Lynda (Mrs Henshaw) does everything she can to make us at home’ and ‘ I like being here, Lynda is really good to us’ It was evident that Mrs Henshaw enjoyed caring for the 3 residents and spoke to the inspector in a professional manner about them. The service at Lynshaw is committed to ensuring that people with a learning disability have their right to a quality life that gives fulfilment is met in the most appropriate ways. What the service does well: The service provider has developed a very homely environment where people care about each other. The residents state that Lynda (the home owner) is a kind person who looks after them well. Mrs Henshaw provides a high standard of care, which meets residents’ needs. Residents receive the support they need to live independently within a safe and supported environment. Residents make decisions about their lives including the activities they follow in and away from the home. The activities that residents follow include opportunities for employment and education. Residents are supported to self-care as far as they are able and their skills and Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 6 independence are maintained. Support is provided in a manner which is appropriate to individual residents and respects their rights. Residents are well cared for and their health and personal care needs are met by the support provided. The home provides safe, comfortable and pleasant accommodation for residents to live in. 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. Lynshaw DS0000022596.V325425.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 Lynshaw DS0000022596.V325425.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): Standard 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home that can meet their assessed needs EVIDENCE: The residents stated that they receive the support they need to live fairly independently within the environment provided in the home. Each person admitted to the home in future would have a pre admission assessment. This is when the prospective resident and their relative/representative will be asked a number of questions about the diverse needs of the individual to ensure their choices, needs, preferences and aspirations can be met at the home. However two residents whose records were viewed as part of the tracking process have lived at the home for a number of years and there was no requirement at that time for an assessment prior to admission, however according to them their needs are fully met. Lynshaw DS0000022596.V325425.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): Standards 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in an environment where they are encouraged to make choices abut their own life. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 10 EVIDENCE: Residents live with Mrs Henshaw in the family home and are consulted about their lives in an informal manner. Residents make decisions about their lives including the activities they follow in and away from the home. The care plans viewed as part of the tracking process were explicit and reflected all aspects of care. The residents were aware of their rights and said that they are upheld. Their freedom of movement is not restricted; residents have a key to the front door. They stated that they could come and go as they choose and merely need to explain what time they will be back. One resident arrived home from work during this visit and let himself into the home. Risk assessments have been developed covering such topics as are relevant to the individual resident for example administration of medication. It is evident that the service provider does enable residents to take calculated risks from the discussion with the residents who outlined how they are enabled to increase their independence. The service provider ensures that all their needs are identified and goals set to meet the needs. Lynshaw DS0000022596.V325425.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): Standards 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents are enabled to have fulfilling lifestyles of their choosing and benefit from being part of the local community. Arrangements and planning to provide nutritional food are good. The residents enjoy a healthy diet. EVIDENCE: Residents follow activities of their choice including opportunities for employment and education. On the day of this inspection one resident was attending a day centre of his choosing and another had just arrived home from work. The third resident is elderly and chooses her own pastimes. She spoke of Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 12 enjoying a trip to the bookies. She stated she likes to read. She said she was free to come and go and do what she pleases. According to the plans of care and daily notes support is provided where necessary for individuals to follow activities outside of the home. Residents are supported to self-care as far as they are able and have opportunities to increase their skills and independence. Residents stated that their families and friends are made welcome in the home and residents are supported to visit people in the local community as they choose. Lynshaw DS0000022596.V325425.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): Standards 18,19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The personal support offered is in a way that suits the resident’s needs and preferences meaning that, residents remain satisfied and contented in their care. EVIDENCE: The resident’s care files viewed as part of the ‘tracking process’ reflected a list of health care professionals involved with the individuals, for example; Doctor and Dentist. Medication is administered to people in a way that suits the resident’s needs and prescribed requirements. One resident partly self medicates following a risk assessment and has a secure place to store the medication. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 14 The residents confirmed that Doctors appointments are made as and when required, with support from Mrs Henshaw. The people who live at Lynshaw stated that they are well cared for and that all their needs are met. The people who currently live at Lynshaw are able to attend to their own personal care needs such as bathing and toileting. The residents choose when to go to bed/rise and what clothes etc to wear. Prompting is given when necessary. The residents spoke of their enjoyment in life as they are enabled to be as independent as possible. Lynshaw DS0000022596.V325425.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): Standards 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who live at Lynshaw are protected from abuse by the policies and practices within the home. EVIDENCE: The homes policies and procedures are in line with the Department of Health guidance ‘No Secrets’ and as such Mrs Henshaw and family are aware of what actions to take should abuse of any type be suspected. The residents said they feel safe living at Lynshaw and were aware of what abuse is. The outer doors have appropriate locks on them to prevent intruders. Each of the residents has a key to the front door to let themselves in whenever they go out unescorted. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 16 The residents explained that if they had any concerns they would tell Lynda, (Mrs Henshaw) the service provider, and that she would resolve it. The residents are aware of how to complain but state they are very happy in the care they receive. Neither the home nor the CSCI (Commission for Social care Inspection) had received any complaints about the home since the last inspection in January 2006. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 17 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): Standards 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Lynshaw is a clean and safe environment, which is maintained to a good standard. The residents feel safe and their accommodation meets their needs. EVIDENCE: The home was seen to be clean, hygienic and free from any offensive odours. The home is maintained to a very high standard and the residents take pride in their home. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 18 The premises are safe and accessible to all the residents. The furnishings are of good quality and add to the homely atmosphere. The residents spoke highly about their lovely home. Each resident has a bedroom, which reflect his or her personality, hobbies and interests. They said if their room needed decorating they would be asked about how they wanted it, for example what colour. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 19 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): Standards 32, 34 and 35. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents’ needs are fully met by Mrs Henshaw. EVIDENCE: Residents live with Mrs Henshaw in the family home and Mrs Henshaw is the sole carer. No staff are employed in the home so these standards can not be assessed fully. However Mrs Henshaw was well aware of the importance of ensuring that any staff employed in the future are employed following a robust recruitment process, including a Criminal Record Bureau clearance. The residents said their needs were fully met by Mrs Henshaw. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 20 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): Standards 37,39 and 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home that is well managed. EVIDENCE: Mrs Henshaw (Lynda) consults the residents on a daily basis about the quality of the care they receive. The service provider is aware of the need to protect vulnerable residents from hazardous situations and has had thermostatically controlled valves installed to Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 21 all hot water outlets to protect the residents from accidentally scalding themselves. The home is well maintained. Mrs Henshaw has a clear sense of purpose for the home, which focuses on promoting residents’ independence and including residents in decisions about their lives and care. She treats all residents as equals irrespective of gender and ensures their diverse needs are met in the most appropriate way. Advice has been taken from appropriate authorities including the local fire officer and environmental health authority regarding providing a safe environment for residents to live in. The 2 residents spoken with were full of praise for Mrs Henshaw with comments such as ‘She is so kind’ ‘She helps us all the time’ ‘Nothing is too much trouble for her’ and ‘We live in a lovely home’. Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 22 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 3 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 Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Lynshaw DS0000022596.V325425.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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