Inspection on 30/01/09 for Lyons Court Care Home

This inspection was carried out on 30th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lyons Court Care Home 11/08/10

Lyons Court Care Home 13/07/10

Lyons Court Care Home 06/07/10

Lyons Court Care Home 30/04/10

Lyons Court Care Home 18/03/10

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lyons Court Care Home Stones End Evenwood Bishop Auckland County Durham DL14 9RE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tom Moody     Date: 3 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Lyons Court Care Home Stones End Evenwood Bishop Auckland County Durham DL14 9RE 01388834516 01388832327 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Durham Careline Ltd care home 50 Number of places (if applicable): Under 65 Over 65 0 50 dementia old age, not falling within any other category Additional conditions: 50 0 The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 50 Dementia Code DE, maximum number of places 50 Date of last inspection Brief description of the care home The home has just been recently registered and complies with all the necessary agencies such as fire and environmental health. It is well designed and has pleasantly landscaped surroundings. It shares a site with its sister home, Bowes Court. There is ample parking space and views of the surrounding countryside. The home has three floors and all are accessible by lift. The home has very generous communal and circulatory space and it has been Care Homes for Older People Page 4 of 26 Brief description of the care home designed to enhance the experience of the service users and to make operation easier for the staff. There is a generous amount of storage space in the home. This design and build is an example of good practice. There is a good standard of equipment such as mobile and fixed hoists, and specialist beds. A suitable call system has been installed. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 30 January 2009, over a period of approximately 6 hours. The inspection included: discussion with staff, a tour of the premises, examination of relevant documents, reading survey forms from staff, service users and visiting professionals such as doctors and social workers. The inspector met with the people who live in the home and talked to their relatives and other visitors. The Manager, and a senior manager of the company that runs the home, were present throughout most of the inspection and both showed a good understanding of the care needs of the people who live at Lyons Court. Overall, the service provides a safe and comfortable home, staffed by people that the residents who live there have confidence in. Care Homes for Older People Page 6 of 26 Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users needs are accurately assessed and the home can meet those needs. Service users have information they need to make choices but a service users guide was not available at the time of the site visit. The home does not provide intermediate care. Evidence: Service users have an individual care plan which they and their relatives contribute to. There is a good assessment of service users physical, mental, spiritual and social needs in their care plans.This contains information from care specialists from many different disciplines. Staff say that they get enough information to care for service users.The home does not have a service users guide at present although the manager states it is almost completed. It does have an information brochure and the appropriate policies and procedures, such as complaints. However, these need to be produced in a form that is accessible for service users and members of the public. Care Homes for Older People Page 10 of 26 Evidence: Service users have contracts from the authorities responsible for arranging their placement in the home. Trial visits are available for service users who want to do this. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home assesses the health and personal care needs of the people in the home and has the resources to provide for these needs. Service users are treated safely, and with dignity and respect Evidence: There is a good assessment of the needs of the person, and the plan of care shows how these needs are to be met by staff. Service users and relatives have the opportunity to contribute to the plan and their opinions and comments are recorded. Care plans indicate the involvement of many different health care professionals such as dentists, opticians and chiropodists. There was also records of hospital appointments being made and records of the involvement of specialists in the healthcare needs of the people in the home. The home has specialist equipment, such as variable height beds, hoists and other aids and adaptations. Staff said they had a good knowledge of service users needs and carried out care in the appropriate way. Care Homes for Older People Page 12 of 26 Evidence: The medication procedure was observed and it was carried out well. Storage is physically safe but rather untidy in places because shelves have not been fitted in cupboards. The controlled drugs stored securely but the cabinet does not have an audible and visible alarm fitted. Staff speak respectfully to individuals and knock before entering their rooms. Service users are well dressed, in their own clothes, and clean and tidy. Service users are able to see visitors in their own rooms or in a quiet lounge. One service user was seen to be helped to make her own telephone calls in private. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes provision matches service users recreational, social and cultural needs, and helps them maintain contact with the surrounding community. They are able to exercise choice and control over most aspects of their lives and they enjoy nutritious and appetizing food. Evidence: Peoples bedrooms reflect their choices, lifestyles and interest. One person enjoyed football and was able to see the local games because the home overlooked the football pitch. Staff said service users have continued with their former interests, such as writing or playing music. This was confirmed by visitors. A number of visitors came into the home during the time of the site visit. All of them said good things about the home. One said that, As soon as you step through the door there is a welcoming atmosphere. Staff engaged in activities with service users. A small group of people were enjoying playing dominoes together with a member of staff. Staff said that the home being adopted by the local community and they told me that service users were able to take trips out into the village and beyond. Care Homes for Older People Page 14 of 26 Evidence: There is a section of the grounds that has been developed as a sensory garden, to be used in better weather. Menus show that service users have a choice of hot meals at lunchtime and in the evening. Staff were seen to be offering menu choices during the day. The cook is experience and she confirmed she has attended the Focus on Food training. The kitchen is well equipped and it is stocked with a variety of foodstuffs and ingredients. The meal that was being served looked tasty. Service users had a choice of fish, chips and mushy peas or sausage and mash. There was a choice of desserts including apple pie. Food is made on the premises and is home cooked rather than convenience style. Service users said that they enjoyed the food. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users and relatives know how to raise issues and they are confident staff and managers will act on their concerns. Training and procedures ensure service users are protected and that their rights are upheld. Evidence: The home has a good policy and procdures for complaints. Staff said they had received training in Protecting Vulnerable Adults (POVA) and they knew about these issues. Recruitment records show that all checks are carried out including Criminal Records Bureau, POVA list and previous employers references. There are no complaints recorded but there are a number of complimentary comments in the form of thank you cards and in relatives quality assurance surveys. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe and comfortable environment with good access to all areas. The home is very well equipped, and furnished. It is spacious, clean and meets the service users needs Evidence: The home is well designed and has pleasantly landscaped surroundings. There is ample parking space and views of the surrounding countryside. It has just been recently registered and complies with all the necessary agencies such as fire and environmental health. The home has three floors and all are accessible by lift. The very generous communal and circulatory space speaks well of the values that the management team of this company hold. Rather than using every available space for bedroom accommodation, and potential income, the home has been designed for he benefit of the service users and to make operation easier for the staff. There is a generous amount of storage space in the home. The design and building is an example of good practice. The decor is modern but looks traditional and it has a homely feel. The home is well ventilated and warm. There was no excessive noise and the atmosphere was calm. Light levels are good in most areas. However, the chandelier in one dining room had a number of failed bulbs. This was addressed on the day of the site visit. One bathroom Care Homes for Older People Page 17 of 26 Evidence: had low light levels. The home has very generous communal space with wide corridors and ample lounge space. There is also a variety of environments including a quiet lounge and a visitors room that allows for privacy. Showers toilets and bathrooms are of good size and fitted with rails and hoists. Temperature control valves are fitted to bath and shower outlets and water temperatures are recorded. There is a good standard of equipment such as mobile and fixed hoists, and specialist beds. A suitable call system has been installed. The bedrooms are big, well above the minimum size, and they are well decorated and furnished. Almost every room has interesting views of the surrounding area. The home has a laundry and suitable hand washing facilities for service users and staff. There were no unpleasant odours detected during the time of the site visit and the home was clean and tidy in all areas. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: There were a suitable amount of staff on duty at the time of the site visit. Service users needs were met, call buzzers were answered within a reasonable time and care was given in an unhurried manner. One member of staff normally worked in the other home on the site but she was knew the service users and what their needs were. The cook was rather busy as she had no kitchen assistant that morning, and she seemed rather hard pressed. Staff said that they either held NVQ qualifications or they were due to start a course within a few weeks. Several staff spoke of developing a career pathway and said they were encouraged by the managment team to do training and development. Staff also said they received an induction and training records confirmed this. Staff records show that all pre employment checks are carried out; including Criminal Records Bureau, Protection Of Vulnerable Adults list and previous employers references. Records also show that staff are interviewed and they receive terms and conditions. Care Homes for Older People Page 19 of 26 Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced person who has service users interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good practice. Evidence: The registered manager is an experienced nurse and is suitably qualified. They know about the people they look after and they are well motivated. The manager is held in high regard by the staff and the morale of the staff group seems high. Comments such as, Everyone pulls together and Shes brilliant to work for, were typical. Relatives said they would be happy to approach the manager if they had problems and spoke well of the managers skills and personality. Staff and relatives are also aware that the manager has an open door policy. The very generous size and design of the home speaks well of the values that the management team hold. The home has been designed for the benefit of the service Care Homes for Older People Page 21 of 26 Evidence: users and to make operation easier for the staff. The home use quality assurance questionnaires and the comments from relatives are all very good. An excellent standard was said of the accommodation and activities on one return and no negative comments were received. The home has proper insurance and the certificate is displayed. Records of maintenance were available, as was the fire log. There is a full time administrator and the manager is visited frequently by the operations manager. This person was available at the time of the site visit. The staff said they felt supported by the company and one spoke of wanting to do nurse training once her NVQ training was completed. She felt the managers supported her in this. This encouragement to do training and develop their career was mentioned by all grades of staff, including the administrator. Staff know about heath and safety. Service user records contain good risk assessments, including falls. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 The home must provide a service users guide to a prospective service users and those in the home. Service users must have adequate information to make informed choices about their placement and to ensure their needs can be met. 31/03/2009 2 9 13 Controlled drugs storage should have an audible and visible alarm on the cabinet and visible from outside the room to comply with British Pharmaceutical Society guidelines To ensure the safe storage of controlled drugs and maintain the accountability of nurses involved in administration of such drugs storage should comply with professional guidelines. 31/03/2009 3 38 4 Records of water temperature testing should 31/03/2009 Care Homes for Older People Page 24 of 26 be available in the home, to ensure all precautions are being taken to prevent accidents. Water temperature tests should be available to ensure the safety of service users. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 9 24 Adequate shelving should be provided in drug storage area. adequate light levels should be maintained in all areas. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!