Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 29/03/06 for The Lawns Residential and Nursing Home

Also see our care home review for The Lawns Residential and Nursing Home for more information

This inspection was carried out on 29th March 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Lawns provides a well-maintained and comfortable place for people with a variety of nursing and care needs to live. The home is well staffed with people who receive training and support in respect of the roles they are to perform and the needs of the people who live there. Information about the people who live at the home, and their individual nursing and care needs is clearly recorded so that staff are kept up to date with each persons needs and treatment. Residents are supported in making decisions about how they wish to receive their care and treatment and how they wish to spend their leisure time. The premises and equipment are very well maintained and detailed records kept in relation to the maintenance, repair and renewal of gas, electric and mechanical equipment and systems.

What has improved since the last inspection?

The issues as identified at the last inspection had been dealt with satisfactorily.

CARE HOMES FOR OLDER PEOPLE Lawns Residential and Nursing Home (The) Lawn Lane Springfield Chelmsford Essex CM1 7JB Lead Inspector Carolyn Delaney Unannounced Inspection 29th March 2006 08.30 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 Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lawns Residential and Nursing Home (The) Address Lawn Lane Springfield Chelmsford Essex CM1 7JB 01245 450101 01245 464123 savillejupa.com 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) BUPA Care Homes Limited Mrs Jacqueline Eunice Saville Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability (14), Physical disability of places over 65 years of age (52), Terminally ill (8) Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Persons of either sex, aged 18 years and over, who require general nursing care by reason of a physical illness/disability -14 Persons of either sex, aged 65 years and over, who require general nursing care by reason of a physical illness/disability - 52 Persons of either sex, aged 18 years and over, who require general palliative care - 8 Old age, not falling within any other category - 14 Total number of persons accommodated not to exceed 52. Date of last inspection 9th January 2006 Brief Description of the Service: The Lawns provides accommodation in a modern and well maintained, purpose built two storey brick building. The home has nineteen single bedrooms and two double bedrooms on the ground floor and twenty-nine single bedrooms situated on the first floor. both floors are accessible via a passenger shaft lift. The home is situated in the grounds of Springfield hospital, within three miles of Chelmsford town centre and mainline train station. There is a bus stop outside of the home. The Lawns caters for a variety of people including Older People, Younger Adults with Physical Disabilities and people who have a diagnosed Terminal Illness. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out on 29th March 2006 between the hours of 08.30 and 13.00. Carolyn Delaney, Lead Inspector for the home, carried out the inspection. Records including care plans and assessments in respect of residents’ needs and risks to health, safety and welfare were examined. Four residents and three relatives were spoken with during the course of the inspection. Three residents were spoken with during the course of this inspection and the relatives of eleven residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. A summary of the comments made will be included in the final version of the report. Four members of staff were spoken with during the course of this inspection so as to determine their awareness of the needs and wishes of the people living at the home and the homes policies and procedures. The records in respect of the maintenance of the premises and equipment were examined. Key standards as identified in the intended outcomes sections of this report are inspected at least once every twelve months. Where key standards have not been inspected on this occasion they will have been inspected at the previous inspection. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk What the service does well: The Lawns provides a well-maintained and comfortable place for people with a variety of nursing and care needs to live. The home is well staffed with people who receive training and support in respect of the roles they are to perform and the needs of the people who live there. Information about the people who live at the home, and their individual nursing and care needs is clearly recorded so that staff are kept up to date with each persons needs and treatment. Residents are supported in making decisions about how they wish to receive their care and treatment and how they wish to spend their leisure time. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 6 The premises and equipment are very well maintained and detailed records kept in relation to the maintenance, repair and renewal of gas, electric and mechanical equipment and systems. 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 contacting your local CSCI office. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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 Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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): 3&4 People are only offered a place at The Lawns following a detailed assessment of their specific nursing and other general care and safety needs and taking into account the people already living at the home it is determined that staff can meet these needs. Staff are supported and trained so as to ensure that they can provide care and assistance to the people living at the home. EVIDENCE: There were detailed records available in respect of the assessments carried out before people are offered a place at the home. Nursing staff working at the home had reviewed the practices for accepting emergency admissions where it has not been possible to visit them and carry out an assessment. Staff are aware of each persons nursing and care needs and each individuals preferences for how they wish to spend their days and the deployment of staff facilitates the continuity of care provided to the people who live at the home. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Information about each persons nursing, general care and health and safety needs is well-recorded and kept under regular review. Staff support residents in retaining control of administering their medicines where it is appropriate. Residents receive medicines as prescribed for their treatment. Staff working at the home seem generally caring, however some staff do not always treat residents in an appropriate manner. EVIDENCE: Care plans, assessments and other information recorded in relation to the people living at the home is very well written and kept up to date and accurate. There was evidence that residents are consulted about the way in which they prefer to receive care and treatment and this information is recorded so as to ensure that all nursing and care staff are aware of these preferences. There is a robust system in place for identifying risks to the health, welfare and safety of the people who live at the home. Where risks are identified there are Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 10 detailed plans in place so as to minimise these risk and their impact on the daily lives of residents. It was positive to note that wherever it is practicable that residents or their relatives have been involved in the development of care and risk management plans. A number of residents receive oxygen therapy as part of their treatment plan. The records maintained in relation to this treatment are very well maintained. Other records indicated that staff ensure that people living at the home receive the medicines, which have been prescribed for them. Staff were observed to treat residents appropriately during the course of the inspection and those residents who could express their views who were spoken with said that staff were kind and caring. However there have been a number of complaints made in respect of the attitude and care provided by some members of staff. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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): 12, 13, & 14 The Lawns provides a good range of opportunities for residents to participate in meaningful activities. There is detailed information available to staff how residents wish to be cared for and staff generally support and assist residents according to their wishes. EVIDENCE: Residents who were spoken with said that they were happy with the activities provided by the home. The more able residents have opportunities to go out shopping and access activities outside of the home, supported by staff as required. Some residents said that they were looking forward to baking cakes for Easter and others said that they enjoyed exercise classes. Information about how people wish to receive care and treatment is recorded where available as part of each persons plan and relatives are encouraged to be involved in the provision of relevant information. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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): 16 & 18 Records in respect of complaints are not consistently maintained in accordance with the homes policies and procedures and not all relatives are confident that their complaints will be dealt with satisfactorily. Some staff attitudes and practices are not conducive to the protection of residents from harm and abuse. EVIDENCE: The Lawns has a clear policy and procedure in respect of dealing with complaints. There had been a number of complaints received since the last inspection, two of which were made in respect of the attitude and lack of care by some members of staff. While records in relation to the investigation carried out by the deputy manager were detailed there were no records in respect of the outcome, action taken to prevent reoccurrence and the response made to the to the complainant. The complainant had referred their concerns to the Commission for Social Care Inspection at the time of writing this report. The nature of the complaints are cause for concern as they refer to inappropriate behaviour and attitude of some staff when dealing with vulnerable people Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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): 0 The standards in respect of the premises and environment were assessed at the previous inspection. EVIDENCE: Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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): 27, 29 & 30 Staff are recruited robustly, trained and employed in sufficient numbers so as to meet the needs of the people living at the home. EVIDENCE: Staff were observed to carry out nursing and care tasks in a calm and unhurried manner during the course of the inspection. However there have been a number of complaints made about how some staff treat residents when providing personal care. The staff duty rota indicated that the home employs sufficient staff so as to meet the needs of the people who live there. It was also evident that staff do not work excessive hours without appropriate off duty time. The rota for night duty staff did not include the full names and designation of staff. The employment records for the two people who had been recruited to work at the home since the last inspection were examined. There was evidence that all the relevant checks had been carried out so as to determine the suitability and fitness of each individual to work at the home. All staff undertake mandatory training including safe moving and handling before they commence work at the home. There was information about the training provided for staff working at the home, including mandatory training and specialist training covering catheter care and complimentary treatment in palliative care Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 15 Records in respect of staff training did not clearly indicate the training provided for staff who work at night. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 16 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): 38 The Lawns is maintained to a very high standard in respect of the maintenance, repair and renewal of equipment and systems so as to protect residents and the people who work in and visit the home. EVIDENCE: The home employs dedicated maintenance staff who ensures that the premises and equipment is maintained in good working order. Detailed and well-organised records were available in respect of the maintenance and repair for gas, electrical and mechanical equipment and systems in the home. Staff at the home receive regular training updates in respect of how to deal with an outbreak of fire at the home. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 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 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 2 4 Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 18 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 OP18 Regulation 12 & 13(6) Requirement The registered persons must ensure that all staff working at the home treat staff in a sensitive and caring manner in line with the homes statement of purpose and the expectations of the people who live at the home. The registered persons must ensure that records are maintained so as to evidence that all complaints are received and dealt with in accordance with the homes policies and procedures. The staff duty rota must be maintained accurately in respect of the full names of staff and their designation. Timescale for action 10/04/06 2 OP16 22 30/04/06 3 OP27 17(2)& Sch 4 10/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 19 1 OP30 Records maintained in respect of staff training should evidence training undertaken by staff who work night duty. Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Lawns Residential and Nursing Home (The) DS0000015351.V268040.R01.S.doc Version 5.0 Page 21 - 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!