Inspection on 02/12/08 for The Lawns

This inspection was carried out on 2nd December 2008.

CSCI found this care home to be providing an Excellent service.

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 Lawns 23/09/09

The Lawns 10/12/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Lawns 1A Knighton Rise Oadby Leicestershire LE2 2RF     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Carole Burgess     Date: 0 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Lawns 1A Knighton Rise Oadby Leicestershire LE2 2RF 01162448864 01162448864 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Linda Thorpe Type of registration: Number of places registered: FSHC Newco 2 Ltd care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 41. The registered provider may provide the following categories of service only:- Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories:- Old age, not falling within any other category - Code OP Physical disability - Code PD Date of last inspection Brief description of the care home The Lawns is a purpose built home and provides care for up to for up to forty-one older people and older people with a physical disability. This is a spacious, well-appointed home set in well-kept gardens. There is a TV lounge and quiet sitting room and separate dining room. All rooms have en suite facilities and there are additional toilets and assisted bathing facilities. The home is situated in the pleasant area of Stoneygate and is close to local shops and the nearby village of Oadby. It is close to the A6 where Care Homes for Older People Page 4 of 26 Over 65 41 0 0 4 Brief description of the care home there is a regular bus service into Leicester. The Statement of Purpose, Service Users Guide & Inspection Report are available in the reception hall of the home and on request (these provide information on how the home is organised and what services they provide). The Statement of Purpose and Service Users Guide are provided for all new residents. At the time of the inspection, fees ranged from £520 to £657per week (this includes some chiropody and relexology treatments). Extras include: Hairdressing, newspapers and dry cleaning. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the Inspector found during the inspection. The quality rating for this service is 3 Stars. This means the people who use the service experience excellent quality outcomes. We as it appears throughout the Inspection Report refers to The Commission for Social Care Inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. Care Homes for Older People Page 6 of 26 The previous key inspection was undertaken on 10th December 2007. The site visit was unannounced and took place over seven hours. We selected four residents and tracked the care they received through a review of their records, discussions with them (where possible), other people who use the service, visitors, the care staff, and observation of care practices. We spoke with staff members regarding the training and support they received. Planning for the inspection included assessing notifications of significant events, a review of the Annual Quality Assurance Assessment (AQAA) sent to the CSCI by the service. Surveys were sent to the service to residents, staff and health professionals to provide feedback to the CSCI. Two residents and one carer returned the surveys. All were positive about the care provided at The Lawns. One person said that the knives and forks were a bit blunt and that messages did not always get through and that meal times were a bit slow (however, the Registered Manager had addressed this issue by the time of inspection). The Registered Manager, deputy manager and other staff spoken with were positive and helpful during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with detailed information about the service, and have their health, welfare and social care needs assessed so that they are assured that they can be met once they move into the home. Evidence: The home provides prospective residents and their relatives with a Statement of Purpose and Service Users Guide (both give information about the home) to help them decide if the home is the right one for them. The Statement of Purpose, Service Users Guide and the homes last inspection report were available in the entrance hall. Residents confirmed that they had received information about the service and had been provided with a copy of the contract (terms & conditions) when they moved into the home. Care Homes for Older People Page 11 of 26 Evidence: One person said that he would like to have more information about general day to day things (such as when and where he could get his hair cut) provided in his room as this would be useful for new residents to have this information to hand. This was discussed with the Registered Manager during feedback at the end of the inspection visit. Four peoples care plans were viewed. These had detailed per-admission assessments to show that the home could meet the persons care needs. It was suggested that the assessments could be more detailed regarding peoples past life experiences and interests to enable staff to formulate individualised, person centered care plans (also see Daily Life & Social Activities) The home does not provide intermediate care. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are very well cared for in respect of their health and personal care. Evidence: Four care plans were viewed. All four care plans were detailed and provided carers with information to enable them to meet all of the residents healthcare needs. Residents spoken with said that they had been fully involved in planing the care they received and that they had signed to say so. Contact with healthcare professionals such as GPs District Nurses, hospitals etc were documented and acted upon to ensure that peoples healthcare needs were addressed. All of the care plans had detailed risk assessments for Moving & Handling, Nutrition, and, where necessary, continence care. The care plans had been reviewed regularly, at least once a a month. Information had been recorded for people who required additional support at night in a Night Care Plan. Care Homes for Older People Page 13 of 26 Evidence: The care staff were proactive and responsive in meeting peoples healthcare needs. For example: In a care plan it was noted that a person had complained of painful heels. A plan of care had been implemented to alleviate the pain, make the person comfortable and eliminate the possibility of pressure sores developing. Medication policies and procedures were sound. Either the Registered Manager, her deputy or a senior care, who had medication training administered the medicines to ensure that people receive their medication safely and as prescribed . People were able to self-medicate following a risk assessment which was regularly reviewed to ensure that they continued to be safe to so. Observation of care practices during the inspection showed that people were treated with respect and their privacy dignity were maintained at all times. The ladies had smart hairstyles, some wore make up and had manicured nails, the gentlemen were in smartly pressed trousers, shirts and ties. Those people spoken with all said that they were well cared for by caring staff who worked hard to support them with their daily care needs and that the staff always called their GP promptly if needed. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff work very hard to ensure that residents experience a safe, comfortable and homely life style. Evidence: The home had an activities organiser who worked thirty hours a week Monday - Friday. There was a monthly entertainments programme and a copy was provided for all of the residents in their rooms so that they could choose which events they would like to attend. There was a daily programme of events arranged for December which included festive celebrations such as carols in the home and at a local church, a Christmas party, a Christmas lunch at which relatives and visitors were welcome, and a visit from the Lord Mayor of Oadby. Other activities included cake decorating, shopping trips, movement to music, bingo, a jewelry sale, visit by a concert band and film show. The home had their own car that provided transport for residents. Shopping trips were arranged for small groups. One resident said that the staff took him out in the car at Care Homes for Older People Page 15 of 26 Evidence: least twice a week which enabled him to visit a relative on a regular basis. Residents were provided with a range of facilities and activities to enable them to maintain their appearance and wellbeing. There was a recently, redecorated hair salon where a number of ladies were having their hair set. Residents also had regular visit from the hairdresser, chiropodist and reflexologist. (some chiropody and relexology were include in the weekly fees). Residents were seen enjoying a group session of music and movement. This appeared very popular. Birthdays and festive days were celebrated and peoples religious need were well supported. There was a Church of England Holy Communion service each month, Roman Catholics are visited on an individual basis and some of the residents went to Church with their relatives. Most residents had their own television and phone in their own room or could choose to watch television in one of the lounges. Most of the residents were very independent and confirmed that they spent their days as they chose. We attended a residents meeting, chaired by the Registered Manager. There was a formal agenda and residents were vocal and very clear about what they wanted changed and were able to put forward their ideas of how they thought the home could improve. The Registered Manager was supportive and encouraged everyone to participate. Minutes with outcomes were provided from the previous meeting. The meals were prepared in the homes kitchen by the chefs. A cooked breakfast was available every day and residents could take their meals in their room should they so choose. Residents had a pre-lunch sherry and beer or wine at the weekends. The lunch looked appetising, well presented and nutritious. There were home made biscuits and coffee in the morning and tea and home made cakes in the afternoon. Special diets were catered for. The residents care plans viewed had a nutritional assessment and residents were weighed monthly to ensure that their nutritional health was monitored and their dietary needs fully met. One person, at the residents meeting, complained that the portion sizes were too large. The chef had a list of required portion sizes in the kitchen which the Registered Manager said she would review. Another person said that he had put on weight since moving to the home. All of the people spoken with said that the food was very nice. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents rights. Evidence: The homes complaints policies and procedures reflect local Safeguarding Adults policies and people had information and access to advocacy services should they need independent help or advice. Staff had received appropriate training and were able to demonstrate that they knew how to protect residents from harm. The CSCI had not received any complaints about the home and the home manages minor concerns in a professional and sympathetic manner. Residents, as observed during the residents meeting, were clearly comfortable with voicing their opinions about any perceived shortfalls in the service although two people said that they thought that communication could be better but were unclear how they would like this to be achieved. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clean, safe, comfortable and high standard of accommodation is provided for the residents. Evidence: The home was warm, clean, safe, well maintained and decorated, and furnished to a high standard that created a comfortable, light, spacious but homely environment. The entrance hall, lounges, hallways, stairs and hair-salon had been recently redecorated, and the lounges had had new carpets. The dining room had also been redecorated and had new cushioned flooring. All rooms were redecorated before a new person took up residency. All residents room had en suite facilities and nurse call. Those seen (chosen at random) were very well personalised. People had shelving for books and personal possessions, pictures, family photographs, paintings and furnishing brought from their own homes. Most people had their own television and personal phone. The homes health and safety arrangements such as regular maintenance and servicing of equipment, regular fire drills and monitoring heat control valves on hot water taps, throughout the home, show that the Registered Manager was mindful of Care Homes for Older People Page 18 of 26 Evidence: her responsibilities in maintaining a safe environment for the residents and staff. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at the home are well trained and sufficient in number to meet the residents health, welfare and social care needs. Evidence: The staff rota was seen and confirmed that during the mornings there were seven carers, early afternoons four carers; and six carers in the evening and two carers at night - to be increased to three in the New Year. There was always a senior care on duty. The Registered Manager was supernumerary. In addition, during the day, there are chefs, cleaners, kitchen and laundry staff and an administrative assistant and maintenance staff. This ensures that care staff are to concentrate on caring for the residents. Residents said that there always seemed sufficient staff on duty. Three staff files were checked during the inspection and showed that there is a rigorous recruitment process to ensure that residents were well protected. New care staff carry out an induction programme and had annual training updates. Staff undertake training in specific areas such as fire training, first aid and moving and handling. The Registered Manager had a training matrix to enable her to identify and track what training had been undertaken and where training was required. Care Homes for Older People Page 20 of 26 Evidence: The Registered Manager said that almost 50 of care staff had completed an National Vocational Qualification (NVQ) in Care. This and the home training programme ensures that staff have the necessary skills to give safe care to the residents. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager provides strong, supportive leadership to staff and is proactive in ensuring that residents receive a high standard of care. Evidence: The Registered Manager is an experienced carer and works in a supervisory and management role. There was excellent interaction between the Registered Manager, staff and residents as demonstrated by the frank exchange observed during the residents meeting that ensured there was a culture openness in the home. There were regular residents and staff meetings, about four time a year. These were minuted with actions and outcomes. One resident said that they needed more notice if times of meetings were changed so that they had longer to consider items for the agenda. Notes were taken throughout the meeting so that concerns would be Care Homes for Older People Page 22 of 26 Evidence: addressed and actions fed back to the residents. The Registered Manager regularly audits specific areas such as risk assessment, care plans and medication and provides an annual quality audit (satisfaction survey) for residents to complete. The results of the survey are collated and actioned to ensure that comments from residents help to improve the service. Many of the residents were able to manager their own finances. The home manages small amount on behalf of a small number residents. Accurate records were maintained. There is an ongoing programme of maintenance and re-decoration. Health & Safety policies and procedures, such as fire drills and hot water checks were completed to ensure a pleasant and safe environment for the residents and staff. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 It is recommended that the care needs assessment should provide more detail regarding a persons social history, interests, hobbies, religious and cultural needs. This can then be used to produce an individualised, person centered care plan. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!