Inspection on 26/10/05 for Lynwood Nursing Home

This inspection was carried out on 26th October 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 Nursing Home 27/08/08

Lynwood Nursing Home 24/08/06

Lynwood Nursing Home 20/06/05

Lynwood Nursing Home 06/12/04

Lynwood Nursing Home 30/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Lynwood Nursing Home Lynwood Rise Road Sunninghill Berkshire SL5 0AJ Lead Inspector Marie Carvell Unannounced Inspection 26th October 2005 10:05 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 DS0000011005.V249624.R01.S.doc Version 5.0 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. DS0000011005.V249624.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lynwood Nursing Home Address Lynwood Rise Road Sunninghill Berkshire SL5 0AJ 01344 620191 01344 875062 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) BEN - Motor & Allied Trades Benevolent Fund Mrs Julie Kay Way Care Home 87 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (75) of places DS0000011005.V249624.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Lynwood provides accommodation and care for up to eighty seven service users over the age of sixty five years of age. The home is registered to provide personal care for up to forty five service users; nursing care for up to thirty service users and dementia care for up to twelve service users. Accommodation is arranged in five units, the dementia care unit is on the ground floor of the main building, the first floor of the main building is for nursing care only and the top floor of the main building is for personal care. The remaining two units, providing personal care are situated in a separate building, accessed by a connecting corridor. DS0000011005.V249624.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by the lead inspector for the home from 10.05am until 3pm, and was unannounced. Time was spent with the manager, deputy manager, staff on duty and service users. The inspector joined service users from Ben King and Claude Wallis wings for lunch. A tour of three units and bedrooms were made and a sample of service user, staff and records required to be kept in the home were examined. Feedback was given to the manager and deputy manager at the end of the inspection. At the last inspection in June 2005, two requirements were made regarding premises issues these have been complied with. What the service does well: What has improved since the last inspection? Additional aids and adaptations have been provided in the home to assist service users with independence. A full time sister has been recruited to the dementia care unit. DS0000011005.V249624.R01.S.doc Version 5.0 Page 6 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. DS0000011005.V249624.R01.S.doc Version 5.0 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 DS0000011005.V249624.R01.S.doc Version 5.0 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): None of these standards were inspected. EVIDENCE: DS0000011005.V249624.R01.S.doc Version 5.0 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): 9 Service users are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Medication administration records are well maintained with no obvious gaps in recordings. Appropriate risk assessments are completed and in place for service users wishing to take responsibility for their own medication. Medication is administered by registered nurses on the nursing units and on the three units providing personal care, care staff who have completed medication training and assessment. DS0000011005.V249624.R01.S.doc Version 5.0 Page 10 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 and 15 The social stimulation and wide range of activities provided have a positive effect on service users. Service users are assisted to make choices and exercise control over their lives. Service users are provided with a varied, appealing and nutritious diet. EVIDENCE: A wide range of activities are available and the home employs three physiotherapists, a physiotherapist aid and a therapy assistant. The home has a lively therapy unit that is used by service users in the care home and from the sheltered housing flatlets on site. The therapists also provide one to one therapies and gentle exercises. Plans of care and discussion with service users confirmed that daily routines are flexible and varied. Links with community groups are well established. Visitors to the home are made welcome, relatives are able to request a meal for a nominal cost and overnight accommodation can be arranged. Service users were complementary about the food provided. Menus demonstrated that a varied, appealing and wholesome diet is provided. DS0000011005.V249624.R01.S.doc Version 5.0 Page 11 Dietician advice is obtained for specific dietary needs. The midday meal was attractively served and tasty, although the inspector and at least one other service user did not receive their requested meal. Staff were observed to be attentive and assisting service users as necessary. DS0000011005.V249624.R01.S.doc Version 5.0 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): 18 Policies, procedures and staff training are in place to protect service users from abuse. EVIDENCE: The home has policies and procedures on the Abuse of Vulnerable Adults and a Whistle Blowing policy. All staff receive training in the protection of vulnerable adults from abuse, multi-agency procedures and the organisations whistle blowing policy. DS0000011005.V249624.R01.S.doc Version 5.0 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 Service users live in a safe, well maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The premises are maintained to an acceptable standard with appropriate aids and adaptations, it is acknowledged that some areas of the home are not suitable for service users who are wheelchair dependent. There is a detailed refurbishment programme in place. The home is kept clean, pleasant and free from unpleasant odours. DS0000011005.V249624.R01.S.doc Version 5.0 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, 28 and 29 The service users benefit from a stable and well trained staff team, in sufficient numbers to meet the needs of the service users. There are robust recruitment procedures in place. EVIDENCE: There appeared to be sufficient numbers of staff on duty to meet the needs of the service users. There is an effective skills mix of nurses, carers and ancillary staff deployed throughout the home. There are currently fifty four care staff in post, some are employed part time. Twenty two care staff have achieved NVQ level II in care and a further eleven care staff are undertaking NVQ level II training. Recruitment procedures are robust and ensure the protection of service users and are based on equal opportunities. DS0000011005.V249624.R01.S.doc Version 5.0 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): 35 Robust systems are in place to protect service users financial interests. EVIDENCE: Financial records are well maintained with written records of all transactions. Receipts are obtained for all transactions undertaken on behalf of a service user. Accounts are audited on a regular basis. DS0000011005.V249624.R01.S.doc Version 5.0 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 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 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 x 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x x DS0000011005.V249624.R01.S.doc Version 5.0 Page 17 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 DS0000011005.V249624.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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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