Inspection on 19/01/06 for The Laurels - Congleton

This inspection was carried out on 19th January 2006.

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 Laurels - Congleton 18/02/09

The Laurels - Congleton 20/02/07

The Laurels - Congleton 04/08/05

The Laurels - Congleton 07/02/05

The Laurels - Congleton 13/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE The Laurels - Congleton Canal Road Congleton Cheshire CW12 3AP Lead Inspector Joan Adam Unannounced Inspection 19th January 2006 10:00 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 The Laurels - Congleton DS0000006686.V277216.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. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Laurels - Congleton Address Canal Road Congleton Cheshire CW12 3AP 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) 01260 278710 01260 299383 Aegis Residential Care Homes Limited Mrs Heather Eunice Hillier Care Home 36 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (36) of places The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 35 service users within the category Older People (OP) may be accommodated 1 service user within the category Learning Disability (LD) may be accommodated 4th August 2005 Date of last inspection Brief Description of the Service: The Laurels is a care home providing personal care. It is close to the town centre of Congleton, which has a wide range of shops, churches and other facilities. The Laurels was formerly a private dwelling and has been extensively renovated and extended to provide care to older service users. It is a twostorey building and service users are accommodated on both floors. Access between floors is via two passenger lifts or the stairs. Resident’s accommodation currently consists of 31 single bedrooms, 7 of which have ensuite facilities, and 2 shared bedrooms, 1 of which has an en-suite. The remaining bedrooms have wash hand basins fitted. Day space consists of 3 lounges and a dining room. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit of the home took place over six hours and was carried out as part of the yearly inspection process. Care records, fire records, staff personnel and training files and medication records were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. What the service does well: What has improved since the last inspection? Since the last inspection a new telephone system has been installed in the home. Five bedrooms have been completely redecorated and new carpets and curtains have been purchased. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 6 Two members of staff have attended training sessions for the management of continence to improve their knowledge base. 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. The Laurels - Congleton DS0000006686.V277216.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 The Laurels - Congleton DS0000006686.V277216.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): EVIDENCE: The key standards were assessed and fully met at the last inspection. The Laurels - Congleton DS0000006686.V277216.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): 7,9 Care plans at the home are detailed and address the changing care needs of the residents. Medication is administered, recorded, stored and disposed of correctly to maintain the safety of the residents living at The Laurels. EVIDENCE: Care plans for two residents living at the home were seen. The plans are detailed and reflect the long-term care needs of the residents and documents the amount and type of support required by staff. Preferences of rising and retiring, likes and dislikes such as when the resident would like a cup of tea or coffee and a social care plan were completed on all residents. The care plans state if a resident wishes to join in group activities or prefers a one to one chat in their bedroom. Risk assessments were present for bathing, window restrictors, bed rails, mobility and the use of the hoist. All had been signed by the residents. Care plans are reviewed and evaluated appropriately. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 10 Residents spoken with said that they felt comfortable living at the Laurels and that the staff were “ really caring” “ the girls are lovely” “ the home is well run” Medication recording, management and storage were inspected. Medicine Administration Records were examined and found to have been completed correctly. Medicines were stored and disposed of appropriately. The fridge used to store medications was being kept in the main kitchen and the manager was asked to discuss this with the environmental health officer as care staff would have to go in to the kitchen to access this. The Laurels - Congleton DS0000006686.V277216.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): 14 Residents can make choices and have control over their own lives. EVIDENCE: Resident’s likes and dislikes are written in the care plan. Those spoken with said that they could choose where they spent their days. They also said that the staff were aware of their needs and they were encouraged to make decisions about their life. The Laurels - Congleton DS0000006686.V277216.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): EVIDENCE: The key standards were assessed and met at the last inspection. There have been no complaints since the last inspection. The Laurels - Congleton DS0000006686.V277216.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): 26 The home was clean and did not have any unpleasant odours. EVIDENCE: The key standards were assessed at the last inspection. One bedroom identified at the last inspection has had the carpet replaced. The home was clean and free from odours. The Laurels - Congleton DS0000006686.V277216.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): 29 The recruitment procedures at the home are not robust to ensure residents safety. EVIDENCE: The files were looked at for three members of staff who had recently commenced work at the home. The records of one staff member contained all appropriate checks prior to employment. One staff member had only one reference in place and had commenced work prior to a POVA first check. This has now been completed and the manager is awaiting the CRB check to be returned. One staff member had no POVA or CRB check before commencing work at the home. The staff member had previously worked at the Laurels but had left to work elsewhere for some time before returning to work at the home. An up to date POVA and CRB check must be in place prior to staff commencing work. References had been obtained from their last employer. There was inadequate information on these staff files as required in schedule 2 of the Care Standards Act 2000. The Laurels - Congleton DS0000006686.V277216.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): 33,35,36 Clear individual financial records are in place for all residents living at The Laurels. The home is run in the best interests of the residents. Staff are adequately supervised. The management of the home ensures the health and safety of the residents. EVIDENCE: Formal supervision sessions for staff take place and supervision sessions are recorded. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 16 Clear individual financial records are in place for all residents living at The Laurels. Residents who live at the home feel that their opinions are listened to and that they can make choices as to how they spend their time. The fire log was checked and staff training in fire safety has taken place and was recorded. The Laurels - Congleton DS0000006686.V277216.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 X 18 x X X X X X X X x STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 3 X 3 The Laurels - Congleton DS0000006686.V277216.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. 1 2 Standard OP29 OP29 Regulation 18 18 Requirement All staff must have a POVA 1st and CRB check in place prior to commencing employment. Al staff must have two written references in place prior to commencing employment. Timescale for action 28/02/06 28/02/06 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 OP9 Good Practice Recommendations The medication fridge is situated in the main kitchen and it is recommended that the manager discuss this with the environmental health officer. The Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Laurels - Congleton DS0000006686.V277216.R01.S.doc Version 5.1 Page 20 - 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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