Inspection on 11/08/05 for The Lawn

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10/02/06

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 GU34 4ER Lead Inspector Michelle Presdee Unannounced 11 August 2005 th 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 Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Friends of the Elderly Mrs Sarah Judith Rushcombe Lee Uff CRH 31 Category(ies) of (OP) Old Age - 31 registration, with number of places The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2005 Brief Description of the Service: The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection the deputy manager and the Manager of the home Mrs Lee-Uff assisted the inspector. Twenty-eight service users were accommodated, three service users had high needs, twenty had medium care needs and five had low care needs. The assessments and care plans of two relatively new service users were looked at and these service users were spoken to at length. Four members of care staff were on duty, with one cook and one domestic member of staff also on duty. The inspector had a brief look around the home and saw two service users bedrooms. One visitor was spoken to who expressed positive feedback on the home. What the service does well: What has improved since the last inspection? What they could do better: The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 6 The home works hard at maintaining the current standard of care and decoration in the home. Improvements in the décor of the old house will clearly improve the appearance of the décor internally. An activities coordinator will improve the activities and the arrangements in the home. 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 H54 S11920 The Lawn V243835 110805.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 Lawn H54 S11920 The Lawn V243835 110805.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) 3,5,6 Good assessments enable carers to be aware of service users overall needs. All service users are invited to spend some time in the home before deciding to move in on a permanent basis. EVIDENCE: The home has a very comprehensive procedure for assessing service users before they move into the home. This involves an initial enquiry at which stage information is recorded. Suitable service users are then sent an application form, which they or their family or friends complete. Potential service users are then invited into the home on several occasions, which gives them a chance to see if they like the home and gives the home a chance to assess the service user. The manager or the deputy manager of the home usually completes the assessment. The assessment is in depth and gives a full picture of each service user. The assessment includes information on sight, mobility, hearing, assistance needed, mental state, medication, former occupation, hobbies, interests, background information and a social history. From discussions with two service users it was clear the information recorded was accurate and did give a clear picture of the service user. Both service The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 9 users expressed their satisfaction with the home believing it had lived up to their expectations. One service user commented, “The home has enhanced my life”. Both service users felt their introduction to the home had been good. The home does not offer intermediate care. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 10 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 Service user plans give a clear picture of each service users individual, personal social and health needs, ensuring these can be met. Service users feel they are well cared for and their right to privacy is well respected. EVIDENCE: The service user plans of the two service users whose assessments were looked at were used. It was found these contained and detailed all necessary information. Each plan had a photograph of the service user on the front. The plans included care plans and problems, weight chart, skin assessment, risk assessment, manual handling and a self-medication assessment. The care plans were broken down into the care needs, the goals and objectives and the care actions needed. A separate nighttime assessment and care plan had also been completed. Separate sheets recorded all professional visits. All communications were recorded. It was noted an inventory of all furniture brought into the home is now maintained. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 11 Service users health needs are well recorded and met in the home. The home has a GP clinic every two weeks, which has been arranged with a local surgery. Service users an call their GP at any time and can see them in private. Most service users are taken to a dentist and optician in the community, but if a service user is too frail these service can be arranged in the home. Service users make their own arrangements for chiropody services. From observations it appeared service users rights to privacy and dignity were respected. All service users have locks on their bedroom doors, staff knocked before going into a bedroom and all service users good see their visitors in private. Both service users spoken to reported they felt their privacy and dignity were respected. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 12 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 Service users enjoy the lifestyle and stimulation of the home. Visitors are encouraged and made welcome, ensuring service users maintain family contact. Meals are varied with a choice always being available and enjoyed by service users. EVIDENCE: Many of service users in the home are independent and arrange their own social arrangements with family and friends. The home tries to arrange a varied social calendar and is hoping in the autumn to have a designated person working as an activities co-ordinator. Activities in the home include arranged outings to various places including afternoon tea at various places, theatre trips and coffee mornings. The home arranges talks from various groups, the travelling library visits and the home has its own library. Service users enjoy the large gardens the home has. One service user explained he enjoyed staying I his room and listening to all the sport, especially the cricket. Visitors are encouraged and made welcome at the home. A book is available for all visitors to sign in and out of. All service users are given an information book when they arrive which details all arrangements about visiting. All service users can see their visitors in private. Arrangements can be made for visitors to stay I the home and have meals in the home for a small charge. One service The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 13 user had just had a friend to stay and both reported they had had an excellent time and enjoyed the meals in the home. The home offers a rotating four-week menu, which offers a varied and nutritious diet. The menu is displayed both weekly and daily. A choice is always available for lunch on the day of the visit service users had a choice of minted lamb chops or mushroom risotto. The majority of meals are home cooked with soups and cakes being also home cooked. Service users have access to fresh fruit at all times. Breakfast is served in service users bedrooms with lunch and tea being served in the dining room. Both service users spoken to stated the majority of the meals were excellent; one service user stated they had not been as good on one weekend since she came to live in the home. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 14 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 The home has a comprehensive complaints procedure, w3hich service users felt confident to use. EVIDENCE: The home has a detailed complaints procedure, which details all the necessary information including names, addresses, telephone numbers and timescales. Service users are given this information in their information pack and service user guide when they come into the home. One service user spoken to confirmed he knew about the procedure and whom he would complain to. The home and the Commission have not received any complaints since the last inspection. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 15 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 The home provides a clean, safe and comfortable environment for service users who all have single rooms. EVIDENCE: All areas of the home seen were clean, safe and no unpleasant odours were detected. The home is well maintained with many facilities including a library, drawing room, dining room and a chapel. The manager explained there are plans to decorate part of the old house with new landing and stair carpets and to re-paint the walls in this area. Two service users bedrooms were seen which had both been personalised and were very individual to the service user. Both service users spoken to were very pleased with their rooms. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 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 The home has adequate staffing levels to meet the needs of service users in the home. EVIDENCE: The home currently employs sixteen members of care staff and three domestic staff plus a maintenance man and a gardener. Currently the home is providing 56 management hours a week, 520 care hours a week and 68 domestic hours a week, which is sufficient to meet service users needs. The home has 4 carers in the morning and three carers working in the afternoon plus management and domestic staff. Two members of staff work a waking night duty. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 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) EVIDENCE: These standards were not assessed on this occasion. The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 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 3 x 3 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 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x x x x x The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 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 Good Practice Recommendations The Lawn H54 S11920 The Lawn V243835 110805.doc Version 1.40 Page 20 Commission for Social Care Inspection 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. 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