Inspection on 12/09/05 for The Lemon Tree

This inspection was carried out on 12th September 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 Lemon Tree 25/09/06

The Lemon Tree 04/01/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lemon Tree Care Home 133 Hornby Road Blackpool FY1 4JG Lead Inspector Wesley Cornwell Announced 12 September 2005 @ 9:30 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. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lemon Tree Care Home Address 133 Hornby Road Blackpool FY1 4JG 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) 01253 621463 Mrs Kurtis CRH Care Home 12 Category(ies) of OP Old Age 12 registration, with number of places Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider should, at all times, employ a suitably qaulified and experienced manager who is registered with the Commission for social Care Inspection. 2. The home is registered for a maximum of 12 service users over the age of 65. Date of last inspection 17th January 2005 Brief Description of the Service: The Lemon Tree is registered for 12 male and female residents over the age of 65 years. The home is situated close to Blackpool town centre and comprises of the following accommodation: One lounge and one dining room/sitting area both of which are designated as non-smoking areas. Resident bedrooms are situated on the ground and first floor. Three bedrooms have en-suite facilities. The home has a chairlift that facilitates access between the ground and first floor. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was the first inspection undertaken with the owner who purchased the home in February this year. The inspection started at 9.30am and took place over 6 hours. The Inspector spoke to three staff members, five residents, one visitor and the owner. Comment cards were completed by five residents and eight relatives/visitors providing their views about the home. Staff and care records were also examined. A full tour of the premises was undertaken with the owner. What the service does well: This is a care home where residents are well looked after. The staff team work well together and show a good understanding of the needs of the people living at the home. Observation of care practices throughout the inspection showed that staff cared for residents in a pleasant and dignified way. Those residents spoken to said they liked living at the home and felt they were being well cared for by the staff. One resident said, “I like living here. The owner is a very nice person and the staff are wonderful. The food is very good and I have no complaints”. One visitor said, “I am very happy with the care and attention given to my relative who has lived at the home for over two years. The home is very clean, the food looks appetising and the staff are polite, friendly and most helpful at all times”. Meals are varied with an alternative available if required. Residents were pleased with the choice and variety available. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. Relatives and visitors of residents said they were always made welcome when they visited the home. One visitor said, “I visit my relative on most days and I look forward to the visit. The staff are so friendly”. The home has been decorated and furnished for the comfort of residents. Residents spoken to were very happy with the standard of accommodation provided. Routines within the home are flexible and organised around residents personal preferences. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 6 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. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 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 Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 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) 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of two residents admitted to the home had full assessment information. Staff members confirmed they had access to this information and could describe in detail the care needs of residents. Staff members involved in the preparation of meals confirmed they are informed about residents who have special dietary needs. Residents confirmed they had been involved in their assessment and were happy that their needs were being met by the home. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 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) 7 and 8 Promotion of health is taken seriously. Residents welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. The records of two residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept under review. Entries made on care plans showed good communication between the home and healthcare professionals. The records of one resident showed how their care needs had changed and the action taken by the home to resolve the problem. Discussion with staff members confirmed the resident was receiving regular visits from healthcare professionals to monitor their health. The relative of one resident visiting the home said, “I am very happy with the care being provided by the home. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 10 The staff are excellent and I cannot praise them highly enough. I am always kept fully informed about my relative’s health and any changes required in their care”. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. EVIDENCE: Residents spoken to confirmed they enjoyed the food provided by the home. Discussion with residents, catering staff and observation of records confirmed special diets were being accommodated. One resident spoken to said, “The food is excellent and I enjoy all my meals”. Meal times were served in a relaxed and unhurried manner. The menus were inspected and found to provide a varied and balanced diet. The cook was able to confirm she had information about residents with special diets and personal preferences. Staff members also confirmed they were fully aware of residents who had special dietary needs and these were being met. Residents spoken to were very happy with the arrangements in place for social activities. One staff member had a keen interest in arranging activities for residents. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 12 These were varied and arranged individually and in groups. The Inspector was able to observe during the inspection residents enjoying taking part in a quiz. One resident said, “I enjoy the quiz. They are good fun and can be very competitive”. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The Inspector was able to observe during the inspection relatives and friends visiting the home. One visitor said, “This is a superb care home. I am always made welcome and look forward to visiting my relative”. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 13 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 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. People visiting the home also said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. The home has a procedure in place for dealing with allegations of abuse. The owner and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Two staff members on duty informed the Inspector abusive practices and how to recognise these had been covered during their NVQ training. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 14 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 home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely and safe environment. EVIDENCE: This home has an ongoing refurbishment programme to ensure the building is maintained to a high standard. The owner informed the Inspector one bedroom, which, had recently become vacant had been redecorated and refurbished. The owner informed the Inspector there are plans for more rooms to be upgraded. Lounge and dining areas have been decorated and furnished for the comfort of residents. The Inspector spoke to three residents in their own bedrooms. They were all happy with their rooms and said that the furniture provided met their needs. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 15 One resident said, “I am very comfortable. I have my television and enjoy spending time in my room”. Toilet and bathing facilities are located on all floors and are easily accessible for residents. The home has a chairlift to provide access between the ground and first floor. The Inspector observed residents using the chairlift independently during the inspection. Radiators throughout the home are guarded or have guaranteed low temperature surfaces to protect residents from the risk of burning. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. The Inspector discussed with the owner of the home a fire safety report recently produced following an inspection by Lancashire’s Fire and Rescue Fire Safety Department. The owner informed the Inspector most of the recommendations made in the report had been implemented and work was ongoing. It was observed during the visit the home was clean and hygienic. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 16 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, 28, 29 and 30 Staff are well trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures are robust and these provide safeguards for the protection of residents. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. One resident said, “The staff are very kind. I like living at the home and feel safe”. Eight relatives/visitors who completed comment cards prior to the inspection said in their opinion there are always sufficient numbers of staff on duty. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Observation of care practices throughout the inspection showed that staff cared for residents in a pleasant and dignified way. Records show two staff members have gained National Care Qualifications and another four members of staff are working towards these. Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 17 Examination of staff records showed the home was obtaining relevant documentation for staff members employed at the home. However, the Inspector was unable to identify if the police clearance and references had been applied for and received before staff members commenced employment at the home. The homes procedures should be reviewed to ensure this information is clear. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 18 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) 31, 33 and 38 The home is well managed and run in the best interests of residents. EVIDENCE: The owner of the home is a Registered General Nurse and has achieved a relevant management qualification. Records seen confirmed the owner has access to training to ensure her knowledge and skills are updated. Residents spoken to were very positive in their comments about the owner of the home. One resident said, “I find the owner to be very thoughtful and approachable. I am very happy living at the home and have no complaints about my care”. Visitors spoken to said they found the owner to be approachable, supportive and helpful. Staff members said they found the owner was supportive and provided a clear sense leadership. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 19 Systems in place for gathering the views of residents, their relative’s and staff as part of the monitoring of quality are informal and the owner is aware this is an area that needs to be addressed. Staff spoken to had a clear understanding of their role and what is expected of them during their shift. Inspection of records for residents were comprehensive, well written and up to date. Inspection of maintenance records confirmed facilities and equipment was being maintained as required. Records were available to the Inspector to verify that training on health and safety issues had taken place. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x 3 Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 21 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 28 33 Good Practice Recommendations 50 of the care staff team should achieve NVQ qualifications Resident and staff meetings should be held with minutes documented and retained for inspection. Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Lemon Tree Care Home F57 F09 S62940 Lemon Tree V120905 Stage 4.doc Version 1.40 Page 23 - 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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