Inspection on 20/07/05 for Lynwood House

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 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

Lynwood House 18/09/08

Lynwood House 25/09/06

Lynwood House 05/12/05

Lynwood House 29/10/04

Lynwood House 14/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Lynwood House Durham Road Lanchester Co Durham DH7 0LP Lead Inspector Stephen Ellis Unannounced 20th 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. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lynwood House Address Durham Road Lanchester Co Durham DH7 0LP 01207 520 292 01207 520 292 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) Durham County Council Mrs Ann Steadman Care Home 36 Category(ies) of Dementia - over 65 years of age(10), Learning registration, with number disability over 65 years of age (7), Old age, not of places falling within any other category (26) Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - learning disability - LD(E) - 18.02.2003 Date of last inspection 29th October 2004 Brief Description of the Service: Lynwood House is a long established care home for older people. It is provided by County Durham Care, part of Durham County Council’s Social Services Department. There are 36 single bedrooms, although only 33 are intended for use (these are all situated on the ground floor). There is a semi-independent unit of 10 beds dedicated to assessment. Three beds in the larger unit are reserved for respite, with the remainder given over to permanent care. The home is centrally located, between the Anglican Church and King’s Head pub in Lanchester. There is good access. It occupies a large, relatively level site with spacious garden.The home is provisionally due to close in 2005-06. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. It included a tour of the building, examination of a number of records and discussions with 14 residents and 4 staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 6 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 Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 7 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 Service users only move into the home after having had their needs assessed and being assured that the home can meet those needs. EVIDENCE: Residents described detailed assessments of need being carried out prior to being admitted to the home. Staff comments confirmed this to be the case. Care plans revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards. These assessments showed that the home only admitted people whose assessed needs it could meet. Within the past 12 months, the home has developed a 10-bedded assessment unit. This unit has admission criteria. It admits people for short-term assessment from hospital or the community. The people it admits undergo assessment prior to admission to ensure that the unit is appropriate for their needs. Elsewhere within the home, there are a small number of beds provided for respite care. The majority of beds are for long-term care. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 8 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 10 There are good arrangements in place to ensure that residents’ health and social care needs are fully addressed. Service users are treated with respect and their privacy and dignity are promoted. EVIDENCE: Residents said that they believed their health and social care needs were well known by staff and were being fully addressed. They said that the community nurse or doctor would see them whenever required. Their personal and social care needs were known, understood and respected by the staff team. They said that they felt they were treated with respect and sensitivity. Several described the staff as being “lovely”, “smashing” and “very helpful”. Care plans were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review, in keeping with National Minimum Standards. Staff training (e.g. NVQ level 2) has included the important issues of privacy and dignity. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 9 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) 12, 13 and 14 Service users experience a satisfying lifestyle that matches their expectations and preferences. They are encouraged to maintain contact with family, friends and the wider community as they wish. They are helped to exercise choice and control over their lives. EVIDENCE: Residents said that they enjoyed living at Lynwood House. They described the staff as being caring and helpful. They could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their days, including what times they got up and went to bed. They said that there was a varied programme of social and recreational activities, including visiting entertainers, crafts, reminiscence and outings. One member of staff takes a lead in organising social events. Some people liked to use the garden when the weather was suitable. Seats were available. Some people were able to walk out into the village centre nearby. Residents could pursue individual interests if they wished, such as reading, television or knitting. People’s religious needs were being addressed. There were services from different denominations held each month within the home. An Anglican Church is just across the road. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 10 Residents said that visitors were always made welcome and could call at any reasonable time. Some residents went out with relatives or friends for part of the day. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 11 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 Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Service users said that they were confident about discussing any issues of concern with staff, including complaints. They were confident about being listened to, taken seriously and about appropriate action being taken. Residents and staff were observed to communicate well and to have an easygoing rapport, with respect for service users’ dignity and privacy being demonstrated. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 12 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 Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The premises were found to be clean, generally well maintained and in good decorative order. However, some external widow frames need to be repainted. The grounds were tidy and attractive. Since June 2005, the home has been employing two casual maintenance staff. Records of tests and servicing are being maintained. Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 13 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 and 30 Staffing numbers and mix of skills are appropriate for the needs of service users. Staff members are trained and competent to do their jobs. EVIDENCE: On the day of inspection, there were 27 service users being accommodated, including 7 on the assessment unit. Typically there are 5 care staff and one residential supervisor on duty in the early part of the day, and one residential supervisor plus 4 care staff during the latter part of the waking day (07.00-22.00). At night, there are 2 members of care staff on duty. There are 2 full time cooks and 3 full time domestics. Two casual maintenance staff members are employed. The full time registered manager works weekdays. Her hours are not included in the care hours available. During the day, 2 members of care staff are on duty on the assessment unit. A full staff training programme is in operation, including first aid, safe handling of medicines, infection control and food hygiene. Sixteen out of the 22 members of care staff (including residential supervisors) have NVQ level 2 or 3, which is commendable. Service users spoke highly of the caring practices of staff, describing them as very helpful and supportive. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 14 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) 33 The home is run in the best interests of service users. EVIDENCE: Residents said that they were regularly consulted over issues affecting their welfare and the life of the home. Consultation included the holding of periodic residents’ meetings, with minutes kept. They enjoyed a good rapport with staff members and were able to confide in them. Relatives were also included in discussions about home life. Staff members said that they enjoyed working at Lynwood House, even though the uncertainty about the home’s future was disconcerting. They felt themselves to be well supported and supervised. They valued the training provided for their on-going professional development. They described staff morale as good, with good teamwork and communication. They felt the home was well run, in the best interests of service users. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 15 Reports of monthly visits being made under Regulation 26, to do with quality assurance, need to be sent to the Commission for Social Care Inspection. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 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 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 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. 1. Standard OP33 Regulation 26 Requirement Copies of reports of Regulation 26 visits carried out each month must be sent to the Commission of Social Care Inspection. Timescale for action 01/09/05 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 OP19 Good Practice Recommendations Some external window frames need to be repainted. Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lynwood House B54 S31189 Lynwood House 200705 V228427 Stage 4.doc Version 1.40 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. 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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