Inspection on 14/04/05 for The Lawns, Tavistock

This inspection was carried out on 14th April 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, Tavistock 25/04/06

The Lawns, Tavistock 22/11/05

The Lawns, Tavistock 17/01/05

The Lawns, Tavistock 03/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 The Lawns 52 Plymouth Road Tavistock Devon PL19 8BU Lead Inspector Helen Tworkowsi Unannounced 14 April 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Lawns Address 52 Plymouth Road Tavistock Devon PL19 8BU 01822 610233 01822 610265 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 Joan Morwenna Lily Stewart Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Main client group Learning disability some of whom may have additional physical disability One named Service User over 65 years of Age Date of last inspection 17 January 05 Brief Description of the Service: The Lawns is a 4-storey town house near the centre of Tavistock, and all the amenities that the town has to offer. The home is registered for 12 Residents that have a learning disability. There are 12 single rooms, and two have en suite facilities. Therer are two rooms that are in an annexe of the house and the two Residents who live here can be semi independent. The home has a minibus that provides transport to the Residents at no extra cost. The home organises activities and holidays. The home has pleasant communal areas and well-maintained gardens and patio areas that are easily accessible.The home is staffed 24 hours per day – and at night there are 1 waking and 1 sleeping staff. The home employs a domestic, though care staff are involved in cooking all meals. Mrs Stewart, the Registered Provider, lives close by and takes a active role not only in the management of the home but in the providing care. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection that took place on 14 April 05, from 9.30am till 12.50pm. At the time of the inspection Mrs Stewart, Mrs Walke and two care staff were on duty in the home. A sample of the care records and some of the training records were looked at. One of the four service users who were at home was spoken with. A full tour of the building was made. What the service does well: What has improved since the last inspection? What they could do better: No areas were identified at this unannounced inspection. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 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 D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Residents who are admitted to The Lawns can be assured that their needs will be met. EVIDENCE: Assessments are completed prior to moves to the home and relevant information is sought from families and the prospective resident. One person had visited the home for a short stay, since the last inspection. There was a record of assessment on file. The registered Manager, Mrs Stewart, said that she would be reviewing the assessment process based on what they have learnt so that they can better get to know someone before coming to move. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 Residents can be confident that their needs are known and documented EVIDENCE: There is good written information on how residents’ needs are met by staff at the Lawns. Individual plans of care and information show that managers and staff have a good understanding of individual residents needs. There were records of trips to see GPs and to hospitals. The files are kept in a locked cupboard, but are available to staff and residents. The files are well organised and up-to-date. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 17 Residents generally have busy lives. Residents are offered and are involved in a wide range of leisure activities and work, at home and in the community. Residents can enjoy wholesome and nutritious meals, and care is taken to meet individual dietary needs. EVIDENCE: The majority of residents were out during this inspection. Individual records contained information about planed activities for the week. Some residents have jobs, other are involved in theatre and dance workshops, in local social groups and in a range of leisure activities including cinema, car-boot sales and swimming. Where there are concerns about the individuals weight and diet, referrals have been made to a dietician and an appropriate diet is provided. The larder was well stocked with a range of food, including fresh fruit, to suit all tastes. Residents and staff eat together and mealtimes are relaxed occasions where the events of the day are shared. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards were inspected in section at this unannounced inspection. EVIDENCE: The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards were inspected at this unannounced inspection. No complaints have been received by CSCI. EVIDENCE: The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home is very clean, comfortable and well decorated. There is plenty of space; residents feel comfortable and make themselves at home. EVIDENCE: At this unannounced inspection, a tour of the building confirmed findings from previous inspections that the home is maintained to a high standard is regularly cleaned, and residents are able to choose the décor in their bedrooms. Each bedroom reflected the tastes of the occupant and all were spacious. Where individuals had particular needs these were addressed. There are three patio areas, which are well kept and provide private sitting areas. Some of the residents have pets, and these animals are also well looked after, with a good standard of accommodation! The home is clean, and there are systems for the “control of infection”: different mops are used for cleaning different areas, the liquid soap containers were filled and there were disposable gloves where they might be needed. However there was nothing clinical or institutional about the home. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents can be confident that there are sufficient well-trained staff that are able to meet their care needs. EVIDENCE: Staff received a good level of training to ensure that they are able to provide a good standard of care. There is a good level of staffing, sufficient to meet the needs of the residents. The managers Mrs Stewart and Mrs Walke have purchased and now implemented a new system of in-house training, this includes fire training, food hygiene and working with aggression. Two staff have started on the Learning Disability Awards Framework, induction and foundation training, this course should provide staff with a good basic knowledge of working with people who have a learning disability. On the morning of the Inspection Mrs Stewart was on duty with two care staff, Mrs Walke (deputy manager) was visiting the home with her daughter. The majority of the residents were out and there was time for staff to sit and talk with residents. The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This was an unannounced inspection and standards in this section were not inspected. EVIDENCE: The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lawns Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 17 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. Standard Regulation None 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 None Good Practice Recommendations The Lawns D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 D54-D07 S3830 The Lawns V221084 140405 Stage 4.doc Version 1.20 Page 19 - 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!