Inspection on 19/05/05 for The Lawns Residential Care Home

This inspection was carried out on 19th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Lawns Residential Care Home 22/08/07

The Lawns Residential Care Home 01/11/06

The Lawns Residential Care Home 23/06/06

The Lawns Residential Care Home 08/12/05

The Lawns Residential Care Home 11/10/04

The Lawns Residential Care Home 11/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Lawns Residential Care Home 1-2 Kensington Gardens Monkseaton Whitley Bay, Tyne & Wear NE25 8AR Lead Inspector Glynis Gaffney Unannounced 19 and 23 May 2005 3:30 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 Lawns Residential Care Home Version 1.10 Page 3 SERVICE INFORMATION Name of service The Lawns Residential Care Home Address 1-2 Kensington Gardens Monkseaton Whitley Bay Tyne & Wear NE25 8AR 0191 253 0291 0191 253 7248 N/A Mr Trevor Nesbit 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) Mrs Julie May Charlton CRH 28 Category(ies) of DE(E) -Dementia- over 65 (8) registration, with number LD(E) - Learning Disability - over 65 (1) of places OP - Old age (19) The Lawns Residential Care Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: The Lawns is situated on Monkseatons high street. The Home provides residential care for 28 older people, of whom up to eight may have dementia care needs. Nursing care is not provided. It is a large, older style, detached building and has been adapted to meet the needs of older people. It is a three storey building and a lift provides access to all floors. There are 26 single bedrooms, one of which has an en-suite facility. There is one double bedroom. There is a kitchen, a large lounge, a smaller lounge, a dining room and a laundry. There are toilets and assisted bathing facilities on each floor. At the front and side of the Home, there are pleasant and attractively landscaped gardens. There is a secluded patio garden to the rear. Bus routes, pubs and local shops are all within easy walking distance. The Lawns Residential Care Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over five and a half hours. The premises were inspected as were a sample of records. The Manager and her Deputy were interviewed and residents were spoken to during the course of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Residents’ bedrooms need to be furnished with the minimum equipment and fittings as set out in the National Minimum Standards. The staff rota needs to include all of the information required by the Commission. Questionnaires need to be developed which will enable residents and visiting professionals to comment on the quality of care provided at the Home. The names of staff participating in fire drills need to be recorded and fire alarms need to be checked on a weekly basis. The Home’s fire risk assessment needs to be reviewed and updated. The Lawns Residential Care Home Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Lawns Residential Care Home Version 1.10 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 Lawns Residential Care Home Version 1.10 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) Standards 1 to 6 were not assessed on this occasion. EVIDENCE: The Lawns Residential Care Home Version 1.10 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 standard(s) Standards 7 to 11 were not assessed on this occasion. EVIDENCE: The Lawns Residential Care Home Version 1.10 Page 10 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) Standards 12 to 15 were not assessed on this occasion. EVIDENCE: The Lawns Residential Care Home Version 1.10 Page 11 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 and 18. The Home has a satisfactory complaints procedure and residents felt that their views were listened to and acted upon. Complaints received by the Home are properly investigated and detailed records kept. A satisfactory adult protection policy and procedure was in place and provided residents with protection from possible risk of harm and abuse. EVIDENCE: A Complaints Procedure was available and included details of: how to make a complaint; who the complaint would be handled by; the Home’s timescales for completing investigations. One complaint had been received since the last inspection. The Manager had conducted a full investigation and made a detailed record of how the complainants concerns were investigated. The complaint was fully resolved. Residents spoken with said that they had been made aware of the Homes Complaints Procedure. One resident told the Inspector that she would be happy to raise matters of concern with any member of staff. This person also said that she felt listened to and indicated that staff paid attention when she had something to say. A procedure for protecting residents against abuse and neglect was in place and included the required details. No allegations or, incidents of abuse, have been received by either the Home, or the Commission. The Lawns Residential Care Home Version 1.10 Page 12 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, 20, 21, 22, 23, 24, 25 and 26. The standard of the environment is good and provides residents with an attractive and homely place to live. Recent investment has improved the appearance of the Home creating a comfortable and safe place for those living there and visiting. The Home is clean, pleasant and hygienic. Residents’ bedrooms are well maintained and suit their needs. EVIDENCE: On the day of the inspection the grounds were tidy, safe and attractively landscaped. Residents are able to access the front and side gardens by way of a ramp leading from the main lounge area. The premises were generally well maintained with few matters of concern identified. Residents spoken to were satisfied that the Home was safe and well maintained. However, it was noted that the plasterwork on the back stairs was crumbling in places and the ceiling in one of the bathrooms showed signs of dampness. These matters were being dealt with at the time of the inspection. The Lawns Residential Care Home Version 1.10 Page 13 Although the dining room was an attractive area, it was noted that some of the dining chair seats and backs were cracked, and the foam filling was showing through in places. The toilets and bathrooms were clean, tidy and hygienic. Toilets were situated near residents’ bedrooms and the lounge and dining areas. Residents have level access to all parts of the building, with the exception of a step down into one of the bathrooms. A lift enables residents to access bedrooms and other facilities on the first and second floors. There is a ramp at the front of the building. A selection of aids and adaptations, such as grab rails and hoisting equipment, are located throughout the Home. A call point was available in each bedroom and within communal areas. Bedroom sizes meet with the usable floor space standard for homes operating before the 1 April 2002. Bedrooms contained the recommended facilities and equipment with the following exceptions: two double sockets; a table to sit at; two comfortable chairs. The flooring in residents’ bedrooms was clean, hygienic and of a satisfactory standard. Although suitable locks had been fitted to bedroom doors, enabling residents to protect their privacy, staff were still able to gain access in the event of an emergency. Lockable storage was available in all bedrooms. Residents’ bedrooms were individually and naturally ventilated. They were warm and comfortable and had sufficient light. Radiators were guarded, although some still required sanding and varnishing. They were fitted with thermostatic controls. There was no unguarded pipework. Emergency lighting was seen working throughout the Home. The Home was clean, hygienic and free from unpleasant odours. The laundry was tidy and well organised. Soiled laundry was not carried through areas in which food was stored, prepared and cooked. A hand wash facility was available and the laundry walls and floor covering were easy to keep clean. There was a sluice and the washing machines and dryer were in working order. The Lawns Residential Care Home Version 1.10 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 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. Staffing levels were sufficient to allow residents’ needs to be met. EVIDENCE: The staff rota contained the required information with the exception of the following details: the hours worked by the Manager and her Deputy; staffs’ full names; the year to which the rota referred. There were no care staff aged under 18, or senior staff aged less than 21. Staffing levels had not been reduced since the last inspection of the Home. The Manager confirmed that the numbers of staff on each shift were sufficient to meet the needs of the residents living at the Home. The following minimum levels of staffing have been agreed with the Commission: 8am to 1pm 4 1pm to 6pm 4 6pm to 10pm 3 10pm to 8am 2 An examination of the staff rota confirmed that the above levels of staffing had been provided. The turnover of staff within the Home was low, although there had been some changes to kitchen staff. A resident told the Inspector that ‘although staff were often busy, they always had enough time for you.’ Another resident said that ‘it would be nice to have more staff around, because the girls always seemed to work so hard.’ Residents spoken with thought highly of the staff and appeared to value the support and care they received at the Home. The Lawns Residential Care Home Version 1.10 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 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) 35, 37 and 38. The records required for the protection of residents and the effective and efficient running of the Home were generally well maintained, up to date and accurate. Some areas for further improvement have been identified. The Provider and his Manager have taken steps to protect and promote the health and safety of both residents and staff. EVIDENCE: A record is kept of accidents occurring within the Home. The Manager conducts a regular analysis of accidents which she then uses to improve care and management practices. The Home’s Fire Log confirmed that the required fire prevention checks had mostly been conducted. However, it was not always clear which staff had participated in fire drills and there were occasions when the fire alarms had not been tested on a weekly basis. Also, the Home’s fire risk assessment needed to be reviewed. Records were kept of residents’ The Lawns Residential Care Home Version 1.10 Page 16 monies and were satisfactorily completed. Balances of monies held on behalf of residents were checked and found to match the Home’s records. A range of emergency procedures were in place and were accessible to staff. Service contracts and maintenance reports relating to such matters as gas safety and servicing of the Home’s lift, were available for inspection. Certificates of inspection confirmed that the Home’s fire equipment was in good working order. The Home’s water systems had been checked for the presence of Legionella during the previous 12 months. A clinical waste contract and a range of workplace risk assessments were in place. However, the Home’s mobile hoist had only received one service check during the previous 12 months. The Lawns Residential Care Home Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 2 3 3 3 2 3 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 3 x 3 x x x x 3 x 2 3 The Lawns Residential Care Home Version 1.10 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 20 37 Regulation 16(2) 23(4) Requirement Refurbish or replace dining chairs showing signs of wear and tear Ensure that the names of staff participating in fire drills are clearly recorded. Ensure that the Homes Fire Risk Assessment is reviewed and updated where required. Ensure that the Homes fire alarms are tested on a weekly basis. Ensure that the mobile hoist is tested on a twice yearly basis and service reports made available at the Home for inspection purposes. Timescale for action 01/10/05 01/07/05 3. 38 13(2) 01/07/05 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. 2. Refer to Standard 24 27 Good Practice Recommendations Provide the following equipment and facilities in residents bedrooms: a table to sit at; two double sockets; comfortable seating for two. Ensure that the staff rota contains the following information: the hours worked by the Manager and her Version 1.10 Page 19 The Lawns Residential Care Home 3. 37 Deputy; staffs’ full names; the year to which the rota referred. Where audits of residents monies are undertaken, an entry to that effect should be made on each balance sheet, preferably in red. Receipts for monies spent on behalf of residents should be cross referenced with entries on balance sheets. The Lawns Residential Care Home Version 1.10 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Lawns Residential Care Home Version 1.10 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. 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