Inspection on 03/10/05 for The Laleham

This inspection was carried out on 3rd 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

The Laleham 16/05/08

The Laleham 31/05/07

The Laleham 29/05/06

The Laleham 23/05/05

The Laleham 17/01/05

The Laleham 09/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Laleham 117-121 Central Parade Herne Bay Kent CT6 5JN Lead Inspector Tina Thomas Unannounced 23 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Laleham Address 117-121 Central Parade, Herne Bay, Kent, CT6 5JN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 363340 Kent County (Residential Homes) Limited Mrs Doris Elizabeth Robertson CRH 75 Category(ies) of Care Home for Older People, 74, Learning registration, with number Disability, 1 of places The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Residential care for people with learning difficulties is restricted to 1 resident whose date of birth is 29/06/46 Date of last inspection 17 January 2005 Brief Description of the Service: The Laleham (the Home) is registered to provide accommodation and personal care for up to 75 people. Of this number 74 can be older people (service users) who are 65 years of age and above. There is also provision for one younger adult who has a learning disability. The premises are five older properties, which have been converted into one building. The accommodation is arranged on three floors. There are 43 single occupancy bedrooms and 15 bedrooms, which can be shared by two people. At the time of the inspection visit, all of the latter were being used as singles and it is understood that this will continue to be the case. The Home is located close to the centre of Herne Bay. To the front, there are views across the promenade and the sea. The Laleham is operated by Kent County (Residential Homes) Ltd (the Registered Provider). This is a private company. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It was conducted between 3.45pm and 8.30pm. The Inspector toured the building, spoke with some of the people that live in the home, care staff and the Manager. The Inspector viewed documentation including care plans. The Manager and Deputy Manager assisted the Inspector. On the day of inspection there were 52 people living in the home, although one of these people was in hospital. What the service does well: What has improved since the last inspection? What they could do better: Disused items should be stored or disposed of appropriately. There is a disused dishwasher in the hairdresser’s room and a disused washing machine in The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 6 hallway area. These items are not stored in a dangerous way, but are unsightly. 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. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 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 standard(s) 0 Not inspected at this inspection EVIDENCE: The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 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 standard(s) 7,8,10 The care planning system is clear and consistent and provides staff with the information they need to meet Service Users needs. Service Users are treated with respect and their rights to privacy is upheld. EVIDENCE: Care plans have been reformatted and are more now orderly; staff can readily obtain information on how to meet the needs of the people that live in the home. Care plans were holistic in that they explored people’s health, psychological and spiritual needs. care needs were suitably described. People that are able, sign agreement of their own care plans. Care plans are regularly reviewed on a monthly basis. People that live in the home looked clean, and suitably dressed. Visits and appointments with health care professionals are recorded. People who live in the home indicated in conversation that their privacy and dignity was respected, for example staff always knocked on the door before entering. Personal care was always given in people’s own rooms or the bathroom. The home is catering for 8 diabetics. Booklets entitled ‘ Eating well and keeping well with diabetes’, ‘caring for someone with diabetes’, and foot care for people The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 10 with diabetes’ are displayed and are available in the mangers office and on the main notice board There are no people at the home with pressure areas. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 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 standard(s) 12,13, 14,15 Service Users social, cultural, religious and recreational needs are met. Service users maintain contact with their family and friends. Service Users are helped to exercise choice and control over their lives. Service Users receive a wholesome and balanced diet. EVIDENCE: On the day of inspection people living in the home were playing skittles with staff. One member of staff was listening to someone who lived in the home, read aloud. The Home has its own hairdressing area. The hairdresser had visited on the day of inspection. One person living in the home has a mobility scooter. People living in the home have regular meetings. Sherry is usually served at these meetings so that they become a social occasion. These meetings, together with actions taken are maintained. The visitor’s book indicated that visitors came to the home at a variety of times. There are a selection of communal rooms where people that live in the home can receive their visitors. Two people expressed that they liked to go to their own rooms when family members visited them. People that live in the home expressed that the food was of good quality and that they felt able to ask for more if they wanted. They could choose something else to eat if they didn’t want the main dish. There were lots of The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 12 bananas, apples, oranges and pears available. Stores of food in the home were of good quality and plentiful. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 Not inspected at this inspection EVIDENCE: The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21,24,25,26 The Home is fit for its purpose. Service Users have access to a safe, comfortable environment. EVIDENCE: The Home has a selection of sitting rooms, although most people like to sit in the two main sitting rooms on the ground floor, which both look of the seafront. Each of the sitting rooms has a selection of comfortable chairs. The Home has two dinning rooms; these also face over the seafront. On the day of inspection the tables were laid with linen table clothes. Furnishings and fittings are domestic in character. The Home has a programme of routine maintenance. Most of the radiators in the house have covers and the agreed programme to cover them all, is still in progress. Hot water temperatures of baths and some sinks were tested and found to be within expected limits. Bathrooms were clean and toilets without sinks had sanitising gel. People had personalised their own rooms. Some had bought items of their own furniture. One person told the inspector that they had a key to their room and The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 15 that they lock their door when they go out of the home. All the bedroom doors have locks, if people are able; they have a key, if they choose to. There is a disused dishwasher in the hairdresser’s room and a disused washing machine in hallway area. These items are not stored in a dangerous way, but are unsightly. A good practice recommendation has been made regarding this matter. (Recommendation 1 Part A) The Home was clean and free from offensive odours. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 Service Users needs are met by the numbers and skill mix of staff. EVIDENCE: On the day of inspection there were seven staff on duty in the morning and five in the afternoon. There are only two staff on night duty. The manager confirmed that this was still sufficient and would increase this number if night staff indicated they were not meeting service users needs. Eleven of the twenty staff are trained to NVQ Level 2 or above. Three staff have achieved NVQ Level 3. Some staff are awaiting training. Therefore the home has reached their target that 50 of staff should be trained to N.V Q Level 2 or above by 2005. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 37,38 The management of this home is satisfactory overall and records are well managed. EVIDENCE: Records within the home are well maintained, examples are care plans, risk assessments, accident book and visitors book. Records are stored appropriately, secure, up to date and in good order. The Registered manager ensures the health, safety and welfare of the people that live in the home and the staff by ensuring suitable risk assessment, staff training including manual handling and COSHH. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 x x x x 3 3 The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard 19 Good Practice Recommendations The disused dishwasher and washing machine should be more suitably stored. The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Laleham H56-H05 S23571 The Laleham V227483 230505 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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