Inspection on 04/08/05 for The Laurels - Congleton

This inspection was carried out on 4th August 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 Laurels - Congleton 18/02/09

The Laurels - Congleton 20/02/07

The Laurels - Congleton 19/01/06

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 Canal Road Congleton Cheshire CW12 3AP Lead Inspector Joan Adam Announced 4 August 2005 9:00 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 F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Laurels Address Canal Road Congleton Cheshire CW12 3AP 01260 278710 01260 299383 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) Aegis Residential Care Homes Limited Mrs Heather Eunice Hillier Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) Both of places Learning disability (1) Both The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 35 service users within the category Older People (OP) may be accommodated 2 1 service user within the category Learning Diability (LD) may be accommodated. Date of last inspection 7 February 2005 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. Residents 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 F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit of the home took place over six and a half hours and was carried out as part of the yearly inspection process. A tour of the home was carried out and care records, fire records and staff training files were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. Before the day of the inspection comment cards for residents and their families were sent to the home and six were returned completed to the inspector. A detailed pre-inspection questionnaire was completed by the manager to complete. Comment cards were also sent to the G.P for the home and to placement officers with social services. These were returned to CSCI and comments were positive. Residents, visitors and staff were spoken to during the inspection. Four of the staff on duty, eight residents and four relatives were spoken with during the inspection. What the service does well: Residents living at The Laurels continue to have their health care needs met to a good standard. Residents said that they liked living at the home and that they were satisfied with the care they received. Relatives spoken with said that they were always kept informed of their relative’s progress and had no complaints. All those spoken with were complimentary regarding the management and staff who worked there. The care plan documentation was detailed and guided staff as to the needs of the residents in their care. Bedrooms are personalised with residents’ own belongings such as furniture, photographs and ornaments. One resident was able to bring her pet cat to live at the home. A newsletter is produced each month with the help of residents. The staff working at the Laurels have been there for some time, are aware of the individual needs of the residents and have training to enable them to be competent and well informed. The manager at the home is experienced and competent. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 6 The atmosphere at the home is warm and welcoming. Residents said that “ the food is always good.” Social activities are varied and residents can make choices as to how they spend their day. 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 The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 7 contacting your local CSCI office. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 8 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 F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 9 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) 3,6 Assessment procedures before residents move into the home are thorough and allow family members to be part of the process of assessing needs. The home only admits those people whose needs are in keeping with the skills and knowledge of staff working within the home. EVIDENCE: Care plans of two recently admitted residents contained preadmission assessments. Detailed dependency levels were assessed by the completion of documentation using a score method. These had been carried out by the manager and were also supported by additional assessments carried out by other health or social care workers. For example, where people had been admitted from other care homes, staff there had carried out discharge assessments. Copies of these were kept in the residents’ files. The manager and other senior staff confirmed that the identified needs were discussed with family members as part of the admission process. The residents confirmed that the manager had visited them prior to their admission to the home and that they had visited the home before admission. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 10 The Laurels does not provide intermediate care The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 11 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) 7,810 Care plans at the home are detailed and address the changing care needs of the residents. Staff members working at the home are aware of the needs of the residents. Residents at the home are treated with dignity and their privacy is respected. EVIDENCE: Care plans for five residents living at the home were seen. The plans set out the long-term cares needs of the residents and details of support required by staff is documented. The likes and dislikes, preferences of rising and retiring and a social care plan were completed on all residents. Risk assessments were present for bathing, window restrictors, bed rails, mobility and the use of the hoist. All had been signed by the residents. One resident had a pressure sore and a “short term” care plan was in place detailing support by the district nursing team. All care plans had been up-dated and reviewed as appropriate. Visits by GP’s, chiropodists, opticians and dentists were documented. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 12 Residents spoken with said that they felt their needs were met at the home and that their views were listened to. One resident said that he was “very comfortable and well looked after” One lady said that she ” prefers to stay in her room and if she rings the buzzer the staff come quickly.” Other comments made by the residents were ” The place is well run” “ The staff are excellent “ “ Staff are lovely they always knock on the door and wait for me to answer before they come in my room.” The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 13 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) 12,13,15 The residents living at The Laurels can make choices about their daily lives. Relatives are welcome at any time and residents have contact with the local community in which they live. Residents receive wholesome meals. EVIDENCE: An activities co-ordinator is employed at the home and activities on offer include, Beetle drive, bingo, board games, jigsaws, exercises with music, skittles, bowls, crossword puzzles, cards, dominoes and reminiscence. An entertainer comes once a month and is popular with the residents. The home has a pet dog that is very popular. One resident has a cat whose future concerned her as she was to be admitted to full time care. Whilst viewing the Laurels it was mentioned that she could bring her cat with her ” the staff said that I could bring her with me and even if I didn’t choose to live here the cat could come anyway.” Residents said that they could choose whether they would like to join in any activities on offer. Three ladies spoken with said that they “did not want to join in the bingo today as they wanted to watch a film on TV.” A newsletter is produced each month with the aid of the residents and photographs and items such as birthdays and garden fetes were included. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 14 One resident said that they went to a local church every Sunday and another resident had been out to a choral society meeting. Magazines of choice are delivered weekly, such as Peoples friend. Families took their relatives out regularly. One resident had gone out to lunch with her daughter. Relatives spoken with said that they were always told if their relative was unwell and kept up to date on progress by the staff. One relative said that “ everything is very good, no complaints at all” another said that ” all the girls are lovely, I don’t have to worry about mum at all, I can go away on holiday with no worries. The home is the best” Menus are available at the home but are not put on display. Residents are given a set meal at lunchtime and if they don’t want this alternatives are offered by staff. For lunch on the day of the inspection there were lamb chops, new potatoes and vegetables followed by bread and butter pudding and custard. Two residents were seen to be eating an alternative meal of their choice. Residents spoken with said that the meals were lovely and that they were happy being offered a set meal at lunchtime. “ If you don’t like it you can always have something else” “ food is always good, I never leave much so it must be good” “There is always something else to eat if you don’t like what is on offer” It was recommended that the daily menu and a list of alternatives be displayed in the dining room. (See recommendation 1) The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 15 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) 16,18 Complaints at the home are dealt with in accordance with the company’s complaints policy and residents and relatives know who to raise concerns with. The policies, procedures and management at the home protect the residents from abuse. EVIDENCE: The home has a complaints procedure in place and a copy of this is displayed in the entrance hall of the home and in the service users guide. There have been no complaints made to the home or to CSCI since the last inspection. Residents and relatives spoken with said they have no complaints and were aware of who to speak to if they were unhappy with any aspects of care. . A policy on the protection of vulnerable adults is in place and the home has an up-dated copy of the No Secrets guidance issued by the Department of Health. Staff have received training in adult protection in January 2005 and this was recorded in the staff training files. Staff spoken with were aware of the policy on adult protection. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 16 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) 19,23,26 Residents live in a safe and well-maintained environment. Residents’ rooms suit their needs. The home was clean and apart from the one area identified did not have any unpleasant odours. EVIDENCE: Both lounges have been refurbished since the last inspection. New carpet has been fitted in the hallway, the small lounge and on the back stairway. SKY television has been installed in one of the lounges to give residents more choice when watching television. One bedroom, which was identified to the manager, had an odour and the carpet was stained. This needs to be replaced. (See requirement 1) The rest of the home was clean and residents said that their rooms were “ cleaned every day “ “ They are always hoovering.” The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 17 Residents said that they liked their rooms. Bedrooms were well personalised with residents own items of furniture, pictures and ornaments. A new laundry system has been introduced at the home. This method enables the clothes to be laundered more quickly and reduces the risk of infection. Residents said that the clothes smelt fresher. Residents liked the fact that there were different areas for them to sit and one resident who sat in the same chair each day had a photograph of her family on a table in the lounge next to her chair, and said that she “found this to be a comfort” The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 18 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) 27,30 Residents benefit from a service that provides adequate staffing levels and well-informed and knowledgeable staff. EVIDENCE: Staff spoken with had a good relationship with the residents in their care and had knowledge of the needs and likes and dislikes of the residents. The staffing numbers at the home are adequate to meet the needs of the residents. Duty rotas were seen and agreed staffing levels were being maintained. Staff said that they had received training in Adult Protection, Moving & Handling, fire, first aid, infection control, sexual relationships, and food hygiene. Laundry staff and some care staff had been given training on how to use the new laundry system. All training was recording in staff training files. The home has over fifty per cent of staff trained to NVQ level 2 in care which is in line with the national recommendation. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 19 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) 33,38 The management of the home maintain the safety of the residents living there. EVIDENCE: Residents who live at The Laurels feel that their opinions are listened to and that they can make choices as to how they spend their time. Resident/relative questionnaires are sent out on a regular basis and sent to head office for review. Questions are based on all aspects of the home such as environment, food, health care needs, social care and general impression of the home. The results are published and copies of the results are sent to the home. Accidents are recorded appropriately. Safety certificates were in place for items such as hoists and passenger lifts. The fire log was checked and staff training had taken place in fire safety procedures and was recorded. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 20 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 x x N/A 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 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x 3 The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 21 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 op19 Regulation 23 Requirement The bedroom carpet identified must be replaced. Timescale for action 30th September 2005 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 op15 Good Practice Recommendations The daily menu and a list of alternatives be displayed in the dining room. The Laurels F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW12 3AP 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 F51 F01 S6686 The Laurels V233958 040805 Stage 4.doc Version 1.30 Page 23 - 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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