Inspection on 22/11/05 for The Lawns, Tavistock

This inspection was carried out on 22nd November 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 14/04/05

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 Tworkowski Unannounced 22 November 2005 nd 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 V247591 221105 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 Stewart Care Home 12 Category(ies) of LD - 12 registration, with number PD - 12 of places The Lawns D54 D07 S3830 The Lawns V247591 221105 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 14/4/05 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. There are two rooms in the annexe of the house and the two residents who live there, 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 wellmaintained 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 V247591 221105 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 8.00am and finished at 2 pm. The inspection included spending time talking with residents whilst they had their breakfast and later their lunch. The inspector spent time talking with Mrs Stewart (Registered Provider), in looking at records, including medication records, and looked around the communal areas of the building. What the service does well: 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 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 V247591 221105 Stage 4.doc Version 1.20 Page 6 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 V247591 221105 Stage 4.doc Version 1.20 Page 7 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) None of the standards were looked at during this inspection. No new service users have moved to the home since the last inspection. EVIDENCE: The Lawns D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc Version 1.20 Page 8 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) 7 and 9 Service Users are supported to make decisions about their own lives. EVIDENCE: Residents receive support with their finances, however where they are able to they are encourage to hold smaller amounts of cash. There are up to date records of individual finances. Residents are able to make choices about how they spend their time- attending work, classes or in hobbies at home. Risks to residents are weighed up and a balance is achieved between risk and independence. For example one person likes to return from evening out late in the evening, and is thought to be vulnerable walking home alone, so taxis are arranged. The Lawns D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc Version 1.20 Page 9 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) 13,15, and16 Residents are able to access and to participate in a wide range of activities in Tavistock. However there are areas where staff could encourage residents to do more for themselves, providing occupation and promoting independence. EVIDENCE: The location of the Lawns means that there is very easy access to community facilities in Tavistock. Residents use the local swimming pool, cinema, and shops. Each resident has a plan of activities for the week so that both they and staff know what is happening. Residents are involved in some domestic activities, however it is recommended that consideration be given as to how each person can maximise their independence. For example resident’s tea is poured for them by staff, something that most individuals are capable of doing themselves. Residents are offered the opportunity to participate in activities at the Lawns- such as using Lego or play-dough. Whilst residents may enjoy doing these things, thought should be given into activities that are more age appropriate but that give similar satisfaction, for example creating items with “salt dough” or doing pottery or paper mache. The Lawns D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc Version 1.20 Page 10 The majority of the residents have regular contact with relatives, and there was evidence Mrs Stewart and the staff at the Lawns provided support to help these relationships to flourish. The Lawns D54 D07 S3830 The Lawns V247591 221105 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) 18, 19, and 20 The home has a well-managed system for administering medication. Health and personal support care needs are well met by care staff. EVIDENCE: The home uses a monitored dose system that is prepared by the local pharmacist. The records of administration were well kept and up to date. Mrs Stewart said that they had recently had a visit from the pharmacist who confirmed that medication is well managed, and that they are awaiting the written report. Residents’ files contain information about health care needs and how they are met. There are records of weight, and information about consultation with health care professionals. Accidents are recorded and followed up by Mrs Stewart. Time was spent with one Service User talking at length and with other Service Users over meal times. Service User said that they were very happy with the care and help received and there appeared to be good relations between staff and residents. Service Users were well dressed, particularly for going out on a very cold morning. The Lawns D54 D07 S3830 The Lawns V247591 221105 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) 22 and 23 There are good systems in place to ensure that Service Users who have concerns can raise them and that Service User are protected from abuse. EVIDENCE: The Commission has received no complaints, and Mrs Stewart said that she had received no complaints. There is a complaints procedure that is available to residents, though a number of people might have difficult expressing concerns. However as virtually all of the residents have relatives, friends or advocates with whom they have contact, there are people who could make complaints if they felt it was appropriate. There are good systems in place to ensure that only suitable people work with residents at the Lawns, Criminal Records Bureau checks had been made on new staff, and staff had been provided with a copy of the General Care Council Code of Conduct. Mrs Walke the deputy manager said that all staff were to receive further training in the new year about abuse and the protection of vulnerable adults. The Lawns D54 D07 S3830 The Lawns V247591 221105 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 The Lawns is clean, comfortable and well decorated. EVIDENCE: Not all areas of the home were seen at this Unannounced Inspection, however those seen (lounge, dining room, kitchen, one bathroom and two bedrooms) were clean, warm, homely and reflected the choices and preferences of Service Users. The Lawns D54 D07 S3830 The Lawns V247591 221105 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) 34 There is a robust recruitment process in place to ensure that only suitable staff work at the Lawns. EVIDENCE: One new member of staff has started in recent months at the Lawns. References and a CRB check had been taken prior to the individual starting work. The new staff had started an in house induction, so that she was familiar with the home, and was due to start the more comprehensive Learning Disability Awards Framework Induction/ foundation training after Christmas. The Lawns D54 D07 S3830 The Lawns V247591 221105 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) 39 and 42 The building is well maintained and risk assessments help ensure that staff and service users are kept safe. EVIDENCE: There is a quality assurance system that is based on seeking the views of Service Users and other people who have contact with the service. This was last completed in mid 2004 and is yet to be completed in 2005. The building is well maintained, and there were good records of risk assessments being completed, these included those in relation to fire and legionella. Portable appliances had been tested, and Mrs Stewart said that an Environmental Health Officer had recently visited, the record of this visit on the 15/9/05 showed that there were no significant concerns. The Lawns D54 D07 S3830 The Lawns V247591 221105 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 The Lawns x 2 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x Version 1.20 Page 17 D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc 16 17 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x The Lawns D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc Version 1.20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP12 OP16 Good Practice Recommendations Residents should be offered the opportunity to engage in hobbies and activities that are not only can enjoy but that are age appropriate. Residents should be given the opportunity to maximize their independence as part of daily living. The Lawns D54 D07 S3830 The Lawns V247591 221105 Stage 4.doc Version 1.20 Page 19 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 V247591 221105 Stage 4.doc Version 1.20 Page 20 - 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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