Inspection on 15/01/06 for Marion Lauder House

This inspection was carried out on 15th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Marion Lauder House 21/02/07

Marion Lauder House 07/07/05

Marion Lauder House 11/11/04

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

CARE HOMES FOR OLDER PEOPLE Marion Lauder House 20 Lincombe Road Wythenshawe Manchester M22 6PY Lead Inspector Leslie Hardy Unannounced Inspection 15th January 2006 07:45 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 Marion Lauder House DS0000061036.V278419.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 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. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Marion Lauder House Address 20 Lincombe Road Wythenshawe Manchester M22 6PY 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) 0161 437 3246 0161 498 8241 Mwilliams@careconcepts.com Careconcepts Ltd Care Home 46 Category(ies) of Dementia - over 65 years of age (45), Mental registration, with number disorder, excluding learning disability or of places dementia (1) Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 46 service users can be accommodated at any one time. Of this number a maximum of 38 service users will require nursing care as a result of dementia and a maximum of 7 service users will require personal care only, by reason of dementia. One named service user is below 65 years of age and requires accommodation due to having mental disorder (excluding learning disability or dementia) When this service user leaves the category will revert back to Dementia, over 65 years of age (DE(E)). Staffing levels for service users who require personal care only must comply with the minimum requirements of the Residential Forum guidance ` Care Staffing in Care Homes for Older People`. Staffing levels for service users who require nursing care must comply with the minimum requirements of the staffing notice issued under Section 13 (3) of the Care Standards Act 2000 on 9th July 2004. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th July 2005 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Marion Lauder is a 46 bedded home. It has 7 beds for residents requiring personal care only and 39 beds for service users requiring personal care with nursing. The staff have expertise in caring for service users with dementia. The home was originally built as a residential care home by The City of Manchester but was purchased 12 years ago for its current use. It is about half a mile from the centre of Wythenshawe and is near a major motorway network. Major bus routes to Manchester, Stockport and Altrincham are within 400 yards of the Home. The Home is on 2 floors. Bedrooms, toilets, and bathrooms are available on both floors. All lounges and dining rooms are on the ground floor. There is a passenger lift between the two floors. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection started at 7.45am on 15 January 2006 and lasted for 3 hours. During the inspection a brief tour of the home was undertaken and care records were reviewed, but most of the time was spent with residents observing how they were cared for. During the inspection 12 residents, 1 visitor and 12 staff were spoken with. Residents at the home suffer from dementia and were not able to hold long focussed conversations. From those held it was evident that they were happy to be at the home and doing things they wanted to do. A relative whose sister had been admitted since the last inspection was very happy with the home and the quality and commitment of the staff. Since the last inspection the previous manager, who had been in post for over eight years left and has recently been replaced. The change of manager has not affected the care that the residents receive. There were no requirements in the last report and there are no requirements made as a result of this inspection. Action has been taken by the home on the recommendations made in the last report. During this inspection only a selection of key National Minimum Standards were assessed, therefore to gain a full picture of how the home meets the needs of residents, this report should be read with previous reports on the home. What the service does well: Residents in the home are treated with respect by staff who treated the individual behind the dementia. Staff treated each resident as if they did not have such a dementing illness when interacting with them. Staff have time for each resident and none are ignored as staff are constantly interacting with residents. Such day-to-day tasks as requests for cups of tea were not ignored and staff had a good knowledge of each resident and their visitors using good care plans well. Visitors were very happy with the care in the home, and a visitor whose sister had been admitted since the last inspection was very complementary about the staff and the care they were giving her sister. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 6 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. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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 Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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 was assessed at this inspection. EVIDENCE: Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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): 7, 8 and10 Residents at the home receive excellent care delivered by very committed staff that clearly know and respect each as an individual. EVIDENCE: All residents’, including one admitted the previous day, had care plans that showed all their assessed needs and stated how these were to be met. Appropriate risk assessments were undertaken for each resident, including nutrition, falls and pressure ulcer risk. The care plans and risk assessments were reviewed monthly. Where these showed that specialist care or equipment was required this was made available and recorded on the plan. For new admissions care plans were available to staff prior to admission so that they could be aware of the assessed needs of new residents and how these were to be met. Staff were seen to treat each resident with respect. Staff were continually interacting with residents. It was commendable that staff spoke to residents as they passed them if the resident engaged them with eye contact and that no resident who spoke to staff was ignored even if the member of staff was Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 10 busy, but instead staff spoke to the resident and responded to their needs. Residents who asked for a drink were immediately offered one. All individual care was given in privacy so that resident’s dignity was respected. Their dignity was also respected by the fact that they all were smartly dressed, had clean faces eyes and fingernails. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 11 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): None of these standards was assessed at this inspection. EVIDENCE: Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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): 16 Good methods of communication in use means that concerns do not become complaints. EVIDENCE: There is a clear complaints policy that is displayed in the home. The home has a complaints log that shows that no complaints have been made since the inspection, during which time period there have also been no complaints direct to the Commission. It is commendable that visitors are encouraged to raise concerns informally and through audits and these are dealt with and responded to well. Visitors confirmed how this happened to their satisfaction in practice. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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): None of these standards was assessed at this inspection. EVIDENCE: Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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): 28, 29 and 30 The home is near to having at least 50 of its carers with NVQ level 2, which coupled with on going training ensures that staff are equipped with the knowledge to undertake their roles effectively. Good recruitment and selection procedures ensure that residents are protected from inappropriate persons being employed at the home. EVIDENCE: The home now has 5 carers with NVQ level 2, with 6 more working toward this. Two carers are also undertaking NVQ level 3. The home has an appropriate recruitment policy and staff are recruited accordingly. Staff files seen contained the required information. All staff had a training record, which showed that training had been undertaken recently in moving and handling, and fire training. Registered nurses are assisted in undertaking updating courses and the deputy manager told the inspector of the courses he had undertaken. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 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): 31 and 35 The new manager is building on the management skills of the previous manager. EVIDENCE: The home had a new manager who recently commenced in post and will be applying for registration from the Commission. She is a registered nurse who holds a Diploma in Management Studies. She has implemented more frequent staff meetings as well as meetings for the trained nurses and head of departments meetings. The minutes of the latest Heads of Department meetings was displayed on a staff notice board. The home has recently obtained the Investors in People award. To achieve this, the home has to demonstrate clear commitment to ensuring high standards of commitment to its staff, which should ensure that this means good care to the residents. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 16 The home has appropriate procedures in place for the handling and management of residents’ personal monies. Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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 Marion Lauder House DS0000061036.V278419.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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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