Inspection on 10/02/06 for The Lawn

This inspection was carried out on 10th February 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 Lawn 24/09/07

The Lawn 16/10/06

The Lawn 11/08/05

The Lawn 31/01/05

The Lawn 08/06/04

The Lawn 04/02/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Lawn 119 London Road Holybourne Alton Hampshire GU34 4ER Lead Inspector Mrs Michelle Presdee Unannounced Inspection 10th February 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 Lawn DS0000011920.V281885.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 Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Lawn Address 119 London Road Holybourne Alton Hampshire GU34 4ER 01420 84162 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) manager@thelawn.fotc.org.uk Friends of the Elderly Mrs Sarah Judith Ruscombe Lee Uff Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2005 Brief Description of the Service: The Lawn is registered to provide support for 31 older people in the village of Holybourne, near Alton. The home is a mixture of a Victorian house and a purpose built extension and provides 31 single bedrooms. The home has extensive gardens that service users are able to access. Communal space includes a drawing room, library and dining room. In addition the home also has a chapel and guest rooms that can be hired out to service user’s visitors. The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two and a half hours. During the inspection the deputy manager and the registered manager, Mrs Lee-Uff, assisted the inspector. Twenty-six service users were being accommodated; one service user was on a respite break. The core standards, which were not inspected at the last inspection, were inspected; ensuring all core standards were inspected over the two inspections. The majority of the inspection was spent looking at records, which were well organised and easy to access. Service users spoken to during the inspection were all very positive about the home and the service offered. What the service does well: What has improved since the last inspection? What they could do better: The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 6 The home continues to work hard to maintain the standards of care and organisation in the home. Efforts need to continue to ensure this standard continues and minor errors, for example the recoding of medication are picked up and amended. 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 Lawn DS0000011920.V281885.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 Lawn DS0000011920.V281885.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: These standards were not assessed on this occasion. The Lawn DS0000011920.V281885.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): 9, Medication procedures in the home are adequate to ensure the safety of service user. EVIDENCE: The home has a medication procedure, which details the receipt, recording, storage, handling, administration and disposal of medicines. Medication is ordered and delivered on a monthly basis. All medication is checked and recorded when it enters the home. Medication is stored in two trolleys, one upstairs and one downstairs, both of which are kept in a locked room. Only members of staff who have received training and deemed competent are involved in the medication procedure of the home. The medication and records of numerous service users were checked and it was found there was only one error. Medication for one service user had been administered in the morning but the record had not been signed. Controlled medication is stored and recorded correctly. Three service users manage their own medication; they are provided with lockable storage where they have to store their medication. Risk assessments have been completed and the service users Doctors and family members have been consulted. The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 10 The home has a medical room on the ground floor. A Doctor calls into the home every two weeks and will see service users during this time. The Lawn DS0000011920.V281885.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 Choice is promoted in the home for service users to live as independently as possible. EVIDENCE: It was clear from observations and discussions with staff and service users the home tries hard to promote choice and independence for service users. One service user who has problems with her sight continues to use the stairs rather than the lift. Staff explained they have discussed the risks with the service user and completed a risk assessment but the service user continues to choose the stairs. The new activities co-ordinator offers a range of activities to meet service users choice and service users were pleased they were not forced to take part in activities they did not enjoy. Service users are involved in their assessments and care plans and sign these every six months. The Lawn DS0000011920.V281885.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): 18 The home has relevant documentation and staff have received training to ensure service users are protected from abuse EVIDENCE: Information relating to adult protection, Hampshire abuse procedure, the Department Of Health guidance “No Secrets” and a whistle blowing procedure are available in the home. The home has had no allegations of abuse in the home since the last inspection. The home has no aggressive service users at the present time, but a policy on dealing with aggressive behaviour is available. All staff receive training on an annual basis and the deputy manager explained staff enjoy this and it makes them think of the different types of abuse. The Lawn DS0000011920.V281885.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): EVIDENCE: These standards were not assessed on this occasion. The Lawn DS0000011920.V281885.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, 30 A mix of well-trained and experienced staff offers service users with a consistent level of care. Training is promoted in the home ensuring staff have the necessary skills and knowledge to meet service users needs. EVIDENCE: The Manager explained the home has a very clear recruitment procedure, which involves all staff being interviewed, completing an application form, two written references being obtained and a criminal records bureau (CRB) check being received. The inspector looked at the records of two members of staff, which supported this, all documentation was available. All staff undergoes an induction period within their first month of employment, which includes the needs of the service user, principles of care and safe working practices. Both the carer and the manager sign the record when each stage of the induction has been completed. All care workers receive training on an annual basis on manual handling, food hygiene, health and safety, fire and abuse. The inspector was advised there is always one member of staff on duty each shift who has in-date training in first-aid. The Lawn DS0000011920.V281885.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): 31,33,35,38 The home is well managed and run in the best interests of service users. The financial arrangements protect service users from abuse. The home takes adequate steps to ensure the home and the equipment in the home are safe for the protection of service users and staff members. EVIDENCE: Mrs Lee-Uff has a clear management style, which is appreciated by the staff and service users of the home. Many service users called into the office during the inspection to say hello or ask the manager for advice. The home is clearly run in the best interests of service users. The manager explained all decisions always have the service users interests at the heart of them. Service users can have breakfast in their rooms either early by the night staff or later by the day staff. The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 16 The home does not become involved in the finances in any way of the service users. The home will cash cheques for service users. The home has a policy and procedures file in the home, which is accessible to all staff. All cleaning materials in the home are kept locked away and cosh assessments have been completed. The fire logbook was seen, which demonstrated all the necessary tests were being carried out within the agreed timescales. The home is going to install a new fire alarm with new electrical wiring. Certificates were seen to demonstrate the fire alarm, emergency lighting, fire extinguishers, lift, gas and hoists all been inspected recently. The kitchen had recently been awarded a high standard of food hygiene award from the environmental health officer. The Lawn DS0000011920.V281885.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 X 8 X 9 3 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 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Lawn DS0000011920.V281885.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. 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. Refer to Standard Good Practice Recommendations The Lawn DS0000011920.V281885.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Lawn DS0000011920.V281885.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!