CARE HOMES FOR OLDER PEOPLE
THE LAURELS Bull Lane South Kirkby West Yorkshire WF9 3QD Lead Inspector
Mavis Pickard Unannounced 1 August 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 LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service The Laurels Address Bull Lane South Kirkby West Yorkshire WF9 3QD 01977 640721 01977 640721 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) Superior Care Homes Limited Mrs Jessie Stringer Care Home - Personal Care only 28 Category(ies) of Older People - 28 registration, with number of places THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 27/10/04 Brief Description of the Service: The Laurels is a care home providing personal care and accommodation for 28 older people. It is owned by Superior Care Homes Ltd a privately owned limited company.The home is situated close to the centre of South Kirkby, a small former mining community.The premises a former vicarage that has been adapted and extended. Service user accommodation is arranged on two floors and there is a passenger lift.There are twenty bedrooms for single occupancy of which one has en-suite facilities. There are four bedrooms designed for shared occupancy of no more that 2 people. The home, which is close to local amenities, has a car park to the front and gardens and a patio area to the rear. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The home was running well on the day of inspection. People spoken with during this unannounced visit said that they liked living at the home and that staff are kind and helpful. What the service does well: What has improved since the last inspection? What they could do better: THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 6 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 LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 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 LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 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) 3&4 Resident’s are assessed before they are admitted so that they know that the home can meet their needs. EVIDENCE: Resident are only accepted into the home following the receipt of an assessment of need from the placing agency on which the home then bases their assessment. The manager undertakes pre-admission assessments for all prospective service users. This process ensures as is possible ensure that the home is confident prior to admission that the needs of service users can be met. Records show and people said that they were invited to visit the home prior to admission so that they and their family/representative are sure that the home can meet their needs. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 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 &9 Detailed care plans are in place for all residents. Residents are protected by the homes policy and procedures for dealing with medication. EVIDENCE: The care plans of 3 most recently admitted residents were inspected this included 1 resident on respite care. All plans were set out clearly and gave detail of the care to be provided how it would be delivered and they when reviews would be undertaken. There is clear evidence and resident/relatives and staff said that all relevant people are involved in the formulation and review of care plans. Individuals have a risk assessment in place that shows presently, no residents take responsibility for their own medication. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 &13 Resident’s lifestyles match their expectations and people keep in contact with their relatives and friends. EVIDENCE: Residents spoken to said that they and the staff recently had a lovely day in Bridlington, the photographs displayed were evidence that all people enjoyed themselves. Residents and family members said that the home has activities and that lots of things ‘go on’ in the home. From direct observation it is clear that The Laurels is a vibrant home with much relaxed communication between residents, staff and visitors. The home’s Statement of Purpose and Service User Guide show that people can have visitors at any time. The Inspector met with a range of people visiting the home during this unannounced inspection. Service users have access to the local community through their family/representatives and through local church/ community group visitors. Service users where possible go into the local community either independently or with the assistance of staff. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 11 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) 16 Complaints are taken seriously and acted upon. EVIDENCE: Residents spoken with said that they haven’t had reason to complain and went on to say that if something is ‘not right’ they only have to tell staff and it will be dealt with. Records show that serious complaints are few and that all concerns and complaint are recorded and dealt with appropriately. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 12 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) 20 & 26 Residents have safe access to all communal areas of the home. The home is clean. EVIDENCE: From direct observation it is clear that the private and communal areas of the home are decorated and furnished to a high level. One sitting room has recently been re-carpeted and decorated. There are large televisions, radio, stereo equipment and DVD players provided. A wellmaintained garden to the rear and a safe accessible patio area gives residents access to the external areas of the home safely via a large, bright conservatory. Overall the environment is clean, bright and pleasant. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 13 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 There are sufficient experienced and qualified staff to meet the needs of people accommodated. EVIDENCE: On the day of inspection there were sufficient staff to meet residents assessed needs. The manager maintains a staff rota, which shows that there are at all, times sufficient staff. The manager said that 43 of care staff have achieved the National Vocational Qualification [NVQ] level 2 or above, 2 further staff are presently being trained at Level 2. Staff undertakes regular mandatory training required by the care industry such as Health & safety, moving and handling, first aid, Food hygiene etc. The manager maintains a staff training matrix which highlight where training or re-training is required. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 14 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) 31,32 & 38 The home is managed by a qualified and competent person whose leadership skills benefits the home. The health & safety of residents and staff are protected. EVIDENCE: The home manager has achieved an NVQ at level 4 and a regsitered manager’s award. It is clear from observation during this visit and from speaking with residents, visitors and staff that the manager’s leadership style and management approach benefits the home and that at all times the home is run in the best interests of residents. Records show that the registered person ensures the health and safety of residents and staff at all times. THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 15 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 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x
COMPLAINTS AND PROTECTION x 3 x x x x x 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 3 x x 3 3 x x x x 3 3 THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 16 no 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 Good Practice Recommendations THE LAURELS J51J01_S6194_The Laurels_V224626_010805.doc Version 1.40 Page 17 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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