Inspection on 28/01/06 for Lynshaw

This inspection was carried out on 28th January 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

Lynshaw 22/03/07

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 Paula Malaney Unannounced Inspection 28th January 2006 2:00 Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 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.V280921.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 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.V280921.R01.S.doc Version 5.1 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 Linda Henshaw Mrs Linda 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.V280921.R01.S.doc Version 5.1 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) Date of last inspection 5th September 2005 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 owned by Mrs Linda Henshaw who 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 residents live in her family home. The services provided in Lynshaw are similar to those registered in other areas of England as Adult Placement Schemes. As Cumbria County Council does not operate an Adult Placement Scheme the home is registered as a residential care home and subject to the Care Homes Regulations 2001 and National Minimum Standards for Adults (18 – 65). Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 28th January 2006. The inspection focussed on how well the services provided in Lynshaw meet the needs of the residents living there. This was assessed by speaking to residents and Mrs Henshaw, observing activity in the home and examining the records care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed were met and there were no areas identified as requiring attention. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 6 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. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 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.V280921.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Residents know that the home is suitable to meet their needs. EVIDENCE: Residents’ needs are assessed and known to Mrs Henshaw. The home provides a high standard of care which meets residents’ needs. Residents receive the support they need to live independently within the supported environment provided in the home. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. Residents make decisions about their lives and the choices they make are respected. EVIDENCE: Residents live in Mrs Henshaw’s 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. Residents are supported to live independently within a safe and supported environment. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 16. Residents benefit from following a range of activities of their choosing. EVIDENCE: Residents follow activities of their choice including opportunities for employment and education. Support is provided 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. Support is provided in a manner which is appropriate to individual residents and respects their rights. Residents’ 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.V280921.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20. Residents’ health and personal care needs are met in Lynshaw. EVIDENCE: Residents are encouraged and supported to self-care and their skills and independence are maintained. Appropriate procedures are in place to ensure that medication is handled safely and residents are not placed at risk. Residents are well cared for and their health and personal care needs are met by the support provided. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Residents are included in decisions about their lives in the home and know their views are listened to. EVIDENCE: The home has a formal complaints procedure which is available for residents and their families. Mrs Henshaw includes residents in decisions about their lives in the home in an informal and ongoing manner. Residents know that their views are listened to and the decisions they make are respected. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. Residents live in a comfortable and homely environment which is suitable to meet their needs. EVIDENCE: Lynshaw is Mrs Henshaw’s family home. Residents have private use of their bedrooms and shared use of communal areas. The property is well maintained and is decorated and furnished to a high standard. The decoration and furnishings are domestic in character and provide comfortable and homely accommodation for residents. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable to Lynshaw. No staff are employed in the home and these standards do not apply to Lynshaw. EVIDENCE: Residents live in Mrs Henshaw’s family home and Mrs Henshaw is the sole carer. No staff are employed in the home and these standards do not apply. Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Lynshaw is well run. Residents’ rights, safety and welfare are protected in the home. EVIDENCE: 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. Mrs Henshaw has produced a range of appropriate records, policies and procedures for the home which safeguard residents’ safety and welfare. 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. Lynshaw DS0000022596.V280921.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 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 3 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 x 3 3 3 X X 3 X Lynshaw DS0000022596.V280921.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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.V280921.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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