Inspection on 03/03/09 for Saint John of God Care Services Lindisfarne

This inspection was carried out on 3rd March 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Saint John of God Care Services... 27/03/08

Similar services:

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Blenheim House

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Westmoor View Nursing Home

Ashlea Mews Residential Home

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 adults (18-65 years) Name: Address: Saint John of God Care Services Lindisfarne Lindisfarne Court Haughton Village Darlington Durham DL1 2DZ     The quality rating for this care home is:   one star adequate 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: Tanya Newton     Date: 0 3 0 3 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 25 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Saint John of God Care Services Lindisfarne Haughton Village Lindisfarne Court Darlington Durham DL1 2DZ 01325365428 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): lindisfarne@sjogcareservices.org.uk Saint John of God Hospitaller Services Name of registered manager (if applicable) Elaine Hill Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Date of last inspection Brief description of the care home Lindisfarne Court is a care home providing personal care and accommodation for up to 13 people with physical disabilities. Lindisfarne Court is one of a number of care homes and care services throughout the country opened by the Hospitaller Order of Saint John of God. Lindisfarne Court was purpose built as a care home. It comprises 3 inter-linked bungalows, all suitably equipped to meet the needs of people with physical disabilities. All bedrooms are for single occupancy and are suitable for people who use wheelchairs. Two bedrooms have en-suite facilities. From information provided by the home, the current charges for staying at Lindisfarne Court range from £800 to £1063 per week. Care Homes for Adults (18-65 years) Page 4 of 25 care home 13 Over 65 1 12 Brief description of the care home The service user guide, statement of purpose and last inspection report are available at the main office. Care Homes for Adults (18-65 years) Page 5 of 25 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was unannounced and carried out between the hours of 9am and 3pm. Prior to the inspection the home were asked to complete an annual quality assurance assessment (AQAA) which gives the providers viewpoint of how well they care for people. During the inspection time was spent talking to people who use the service, relatives, staff and the manager. Feedback from which has been included throughout the report. Records were looked at and a tour of the building took place. Care Homes for Adults (18-65 years) Page 6 of 25 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 home is able to provide people with information about the service prior to them moving in and admissions to the home are well managed. Evidence: The home has a statement of purpose and service users guide which describes the services available within the home. All care files which were looked at during the inspection, had an assessment in place to ensure that peoples needs could be planned for and met by the home. Assessments form the basis from which the care plan is written. Assessments also cover areas such as risk management so that risks to people can be minimised. People living at the home had been given license agreements which set out the terms and conditions of residence, these were available in pictorial formats to make them more accessible to the people living at the home. Care Homes for Adults (18-65 years) Page 9 of 25 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 way in which peoples health and personal care needs are to be met is documented within their individual plan of care. People are supported in making decisions about their lives. Evidence: Care plans were looked at during the inspection. Care plans detail the way in which peoples needs are to be met by staff. The care plan format has been updated since the last inspection and it now contains comprehensive information, including risk management to ensure that peoples care needs can be met by the home. Some areas of the care plan had not been signed or dated and some sections needed to be reviewed. There was clear input from other health care professionals where this was required and monitoring assessments were in place to to identify any changes in health. Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: People are supported to make decisions and choices in their daily lives, one of the people living there said, the service has moved on in leaps and bounds, a relative commented people living at the home are treated with dignity and respect, health care standards are good. Risk assessments were in place to help minimise risks to people living at the home. Some of the risk assessments needed to be updated and some files contained information which was outdated and could be archived. Care Homes for Adults (18-65 years) Page 11 of 25 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. People are offered a range of leisure activities and are supported to maintain links with family and friends. Evidence: People living at the home are encouraged and supported to participate in a range of social and leisure activities. People are offered the opportunity to experience new activities and leisure pursuits as well as being supported to continue with existing interests. Links between families and friends are encouraged and there are no restrictions on visiting times. Comments from people living at the home include,I have regular visits from my parents and I go out shopping with my friend , I go out when I can, I need support from staff and I attend a day centre, I like to help out around the home and enjoy showing visitors round. I act as an advocate. Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: A relative commented, I can visit at any time, the staff look after families too. There is a lovely rapport between staff and visitors. Staff said that trips out included visits to the Whitby festival, theatre and pantomime trips, days out to places like Blackpool, shopping trips and holidays to a range of places. Some people felt that improved staffing levels would support people in being able to go out more. Comments about the food were positive and people said that they were offered a choice. Comments included, the food is good, you get to choose what you want and meals are good, I have been supported in having a healthy diet. Care Homes for Adults (18-65 years) Page 13 of 25 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People have their personal, physical and emotional health needs met by the home. Evidence: People are supported in a way which protects their dignity and maximises their independence. Staff were observed throughout the inspection to treat people with respect. They always knock on doors before entering and they communicate well with people living at the home. One of the people living at Lindisfarne said, I have been given support by the home to loose weight, I feel much more healthy and my general health is much better. A relative said,my sons health needs are well met by the home. There was clear evidence of support from other health care professionals where this is needed. A check was carried out on the homes medication systems. The recording, storage and administration systems were satisfactory. Records were appropriately maintained. Staff have received training in the safe handling of medicines as well as the certificate in medication. Care Homes for Adults (18-65 years) Page 14 of 25 Care Homes for Adults (18-65 years) Page 15 of 25 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. There are clear polices in place to deal with complaints and adult protection, which are known by staff and accessible to people living at the home. Evidence: The home has clear complaints procedures in both written and pictorial formats. There have been no formal complaints made to the home since the last inspection. People said that they would feel confident in raising any concerns. Comments included, If I have any problems, I would talk to the staff and I have raised lots of issues which have all been dealt with. Staff have received training on the Protection of Vulnerable Adults (POVA). Staff are aware of whistle blowing procedures and said that they would feel confident in raising any concerns. Care Homes for Adults (18-65 years) Page 16 of 25 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 clean, tidy and furnished and decorated to a high standard with appropriate equipment to support peoples needs. Evidence: Lindisfarne Court was purpose built, to a high specification, as a care home to provide personal care and accommodation for up to thirteen people with physical disabilities. The homes three inter-linked bungalows were designed to accommodate people who use wheelchairs. Each bungalow has a large lounge, a kitchen/dining room and a conservatory. One of the conservatories has been turned into a sensory area. All of the conservatories have recently had new roofs fitted and new flooring has been fitted. The kitchens and utilities have been replaced. There are large spacious corridors and people can move freely between the bungalows. All of the bathrooms are fitted with adapted bathing equipment and ceiling tracking hoists. All of the rooms were individually furnished and decorated to a high standard, some had recently been refurbished and there is an on-going programme to continue refurbishing other rooms. Future plans for the home include the widening of paths outside to make the garden Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: more accessible and a sensory garden is also going to be developed. Care Homes for Adults (18-65 years) Page 18 of 25 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. There are adequate numbers of appropriately skilled and experienced staff to care for people. The recruitment, training and supervision of staff protects people. Evidence: Thirty two care staff are employed by the home, there are vacancies at present for a further five staff members. There are seven staff on duty throughout the day, two working in each bungalow with a senior working between all. A recruitment drive has recently taken place and the home is now waiting for police checks so that new staff can be given a start date. There are two members of waking night staff on duty throughout the night. Staff recruitment files were viewed. All contained the required information which includes a police check and two references, one of which must be from the previous employer. Staff training records were also viewed, the home provides a range of training opportunities for staff and files checked all contained up to date certificates. As well as providing mandatory training, in subjects such as moving and handling and first aid, specific training, which supports staff in meeting the individual needs of the people Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: living at the home is also provided. Seventy five percent of staff have an NVQ at level 2 or 3. Comments from staff include, I think the care is excellent, I have just finished my NVQ 3 and I have had lots of training over the last year and staff get well supported, this is my first job in care, I wish I had done it years ago. All staff receive regular supervision and say that they are well supported in carrying out their roles. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements within the home need to be formalised. Quality assurance systems are in place to gain feedback and to aid the development of the service. The health and safety of those living and working in the home in the main is supported and protected. Evidence: The manager has been in post for approximately one year and has not yet completed the fit person process with CSCI. The manager said that her application had been submitted, but as it has not been received, a new application must be made. This was a requirement made in the previous inspection report which has not been met. All of the people spoken to during the inspection were very complimentary about the manager and said that she had made positive changes to the service. Comments about the manager included, there have been lots of changes to the management in this home, things have improved, I am very happy with the manager and the manager is marvelous. Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: Quality assurance systems were looked at, these include surveys to seek the views of relatives and other professionals, resident meetings and staff meetings. Information gained through feedback, is used to develop the homes annual development plan. As well as records to document any complaints, compliments are also recorded. Health and Safety records were looked at. Although the home has a number of beds which have bed rails in situ, the home were not carrying out their own risk assessments and monitoring of these. The home were told that these must be in place, based on the MHRA guidance (2006) on the safe use of bed rails. Immediate action was taken by the home to rectify this matter and copies of risk assessments were forwarded to CSCI. Other health and safety records were looked at, those viewed were up to date. The home carries out regular health and safety checks to ensure the health, safety and well being of people living and working at the home. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 37 8 The Registered Provider must 01/05/2008 submit an application for the registration of the new manager Care Homes for Adults (18-65 years) Page 23 of 25 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 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 6 9 Some areas of the care plan had not been signed or dated and some sections needed to be reviewed. Some of the risk assessments needed to be updated and some files contained information which was outdated and could be archived. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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). 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