Inspection on 09/05/05 for The Leys

This inspection was carried out on 9th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Leys 02/10/08

The Leys 06/09/07

The Leys 18/12/06

The Leys 14/10/05

The Leys 28/02/05

The Leys 19/08/03

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

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Upaya Ananda

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

CARE HOME ADULTS 18-65 The Leys Park Lane Sharnbrook Beds MK44 1LX Lead Inspector Katrina Derbyshire Announced 09 May 05 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 Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Leys Address Park Lane Sharnbrook Beds MK44 1LX 01234 781982 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) Lansdowne Care Services Mr D Diemer Care Home 8 (8) (8) Category(ies) of LD - Learning Disability registration, with number PD - Physical Disablity of places The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2005 Brief Description of the Service: The Leys is a large six-bedded bungalow and self contained two-bedroom flat set in countryside on the outskirts of Sharnbrook. The home can provide residential care to eight adults with learning disabilities including those with physical disabilities. The home is staffed over a twenty-four hour period and is adjacent to a day care facility. All accommodation is on one level and there is ramped access to the buildings. Sharnbrook is about fifteen minutes drive from both Rushden and Bedford and there is a bus service to both towns. The service has its own transport, which assists service users in accessing facilities in both the village and nearby towns. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 5 hours on 9th May 2005. The manager, Mr. Diemer, was present throughout the inspection. During the inspection many of the areas within the home were visited and the inspector spent time with many of the residents’ in the dining area of the home. The care of three residents’ was examined in depth by looking at their records and interviewing the residents’ and staff who look after them. Observations of care practice and communication between the residents’ was also made at the inspection. What the service does well: What has improved since the last inspection? The manager has made progress on a plan that he hopes will improve the standard of care. This plan has been written for the year, and says when different things should be done. The views of residents’ and staff were taken into account when he wrote the plan, and it aims to make the décor of the home, activities, staff training and care better. This plan is part of the homes quality assurance. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 6 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. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 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 Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 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) 1, 2 and 4. The assessment and pre admission arrangements at the home are planned and are of a good standard. Residents can make an informed decision on whether to move into the home, and if they do, that their needs will be met. EVIDENCE: Individual records are kept for each of the residents; assessments were in place within these records. The assessments were comprehensive, and detailed the social and psychological needs of residents alongside their physical needs. The opinion of the resident on what they believed their needs were had been included, and the views of their nominated family member or advocate. Residents had also had the opportunity to visit the home several times before making a decision to move there. One resident who had recently moved to the home had visited for meals and stayed overnight before they decided to move in. Very detailed records were kept of these visits, and showed how the home had continued their assessment of the resident and how best to meet their needs. The statement of purpose and service user guide was both clear and sufficient in detail to make clear the services available at the home and the rights of the residents. Information on staff qualifications, how to complain and how the home would respect the privacy of the resident was included. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 9 The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 10 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 and 9. There is a clear and consistent care planning system in place, which provides staff with a good level of information, so that they can satisfactorily meet the needs of the residents. EVIDENCE: Individual plans are available and provide a wide variety of information to staff on the needs of the resident. One resident showed their care plan and spoke of its contents. They were fully aware of its purpose and confirmed that they are consulted about what is written about them. Another residents care plan described the need for that resident to complete a daily diary about what they did that day; this was seen to be undertaken and staff gave support with the spelling of words so that the resident could complete their daily entry. Risk taking for the resident is discussed at the residents 6 monthly review meeting. Any new risks that have been identified are considered with the resident and their family member or advocate, and this is then integrated into their plan of care. Residents spoke of the varying activities that they undertook that could involve an element of risk; one example was assisting with the preparation of meals. A risk assessment of this activity was in the file of the resident and staff were seen to follow the guidance contained in it. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 11 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, 13, 14 and 17. Links with the community are good and support and enrich the residents’ social and educational opportunities. EVIDENCE: The home has excellent links with a variety of social and educational facilities across Bedfordshire and records of attendance were seen in the residents’ care files. Residents attend varying programmes to assist them in their development outside of the home, alongside the provision of a day service within the home’s grounds. Residents spoke of the computer, art, music and social development classes that they attended each week. One resident showed how they cared for the animals at the home, which included ponies, goats and chickens. Photographs of recent holidays were displayed and residents explained that they had a choice in their holiday; some had visited the English coast, whilst others had gone to Disneyland in Paris. Discussion with staff demonstrated that they were very clear about the rights and responsibilities of the residents. They were knowledgeable about the residents’ contract and were able to describe the rights of the residents and The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 12 how, as a staff team, they respect the rights of residents at all times; examples included knocking on a residents door before entering, listening to a resident if they have something to say and supporting residents to be independent. Residents also spoke of the food in the home. Portions offered to the residents at teatime were very large, and all residents said how much they enjoyed the meals in the home. Choices are offered at mealtimes and fresh fruit and vegetables are available. The kitchen was clean and organised and a sufficient amount of stock was in place. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 13 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) 19 and 20. The health needs of residents are well met with evidence of good multi disciplinary working on a regular basis. EVIDENCE: Clear plans are in place to guide staff in how the health needs of the residents can be met, and they give clear instruction on the staff’s role in making sure these needs are met. In addition, the views and guidance from a range of healthcare professionals are kept in the residents’ care files when a resident has received specialist treatment. Residents spoken with described their visits to their consultant, and confirmed that they had been included in the review or treatment from the hospital. Medication records are also kept of all prescribed medication; these were completed in full and contained correct entries. The stocks of medication were stored in a safe manner, and records were kept of all items that had been ordered or returned to the pharmacy. Staff had received training in the administration of rectal diazepam, however the need to make sure that this training is satisfactory to the General Practitioner who has prescribed the medication, needs to confirmed by the home. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 14 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. The home has a clear complaints system with some evidence that residents feel that they are listened to and their views are acted upon. EVIDENCE: The complaints policy of the home is simply written so that residents know how to complain, and who they can complain to. Timescales of response and details of the Commission for Social Care Inspection were also included. Residents and staff were clear in their description of residents’ rights in this area, and residents were clear that they would expect the home to respond to them. Residents also have the opportunity to voice their views with their key worker, and when there are house meetings. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 15 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) 28 and 30. The standard of the environment within this home is good, providing residents with a clean and spacious place to live. EVIDENCE: The home is set in 6.5 acres of land, and accommodation is provided in the main bungalow or a smaller two-bedded bungalow adjacent to the main building. One large lounge and one lounge/diner are furnished with domestic style furniture; within the main building there is also a dining area with a table and bench in place. Residents were seen to use all these areas alongside their own individual rooms, if they wanted their own private space. One resident said ‘ l really like living here, its very nice’. Photographs of residents and staff were on display in these communal areas, and assisted in creating a homely environment. Several of the areas in the home were visited and all were clean and free from odours. Laundry facilities are available, and were sufficient for the number of residents who live at the home. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 16 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) 33, 34 and 36. The arrangements for the induction of staff are good, with the staff demonstrating a clear understanding of their roles. EVIDENCE: The induction care staff receive meets the Sector Skills Council targets and timescales. The Learning Disabilities Award Framework is used, and documentary evidence of this is kept by the home. Staff spoke of their roles in the home and were very clear on the responsibilities that they held; examples included supporting residents in achieving their personal aims and objectives, attending training to further develop their knowledge, and working together as a team to benefit the residents at the home. All residents complimented the staff team, one resident said “ they know all about me and what l like, its important that they know what to do”. Recruitment of staff follows the homes policies and procedures. Records and staff demonstrated that a structured interview had taken place and references were secured prior to the appointment of a staff member. However although a checklist had been ticked to indicate that a check against the Protection of Vulnerable Adults list had taken place, there was no other documentary The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 17 evidence to support this. This is kept at the home’s Head Office, but evidence that a check has been undertaken must be available for inspection, and a requirement has been made. Supervision of staff is carried out and again staff records supported this, however the home should ensure that this meeting takes place as a minimum, six times each year. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 18 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) 38 and 42. The manager has a clear development plan and vision for the home, which he has effectively communicated to the residents and staff. EVIDENCE: The manager has been in post for several years. Staff spoke of his approach and management style as “ open, honest and trustworthy”. Communication and support systems in place ensure the smooth running of the home, staff commented that they always felt involved with decision-making and found the management very approachable. The residents also made several comments on the home having a very informal atmosphere; one resident said, “ Its happy here, everyone is nice to me”. The management of health and safety in the home was satisfactory. A clear policy provided sufficient guidance to staff and this was supplemented with staff training to increase awareness in this area, examples included; food hygiene, fire and first aid. The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 19 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. 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 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 4 4 x x 4 3 Standard No 31 32 33 34 35 36 Score x x 4 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Leys Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 4 x x x 3 x I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 20 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 YA20 Regulation 12(1)(a) & 13 Requirement Consent from Residents General Practitioners must be in place, to confirm if the training by staff in administering rectal diazepam is sufficent and safe. Evidence must be available for inspection, to show that a CRB and POVA First check has been undertaken. Staff must receive a minimum of six supervision sessions each year. Timescale for action 30/06/05 2. YA34 19 schedule 2 18(2) 30/06/05 3. YA36 31/07/05 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. Refer to Standard Good Practice Recommendations The Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Clifton House 4a Goldington Road Bedford MK40 3NF 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 Leys I51 S14926 THE LEYS V215082 090505 - Stage 4.doc Version 1.30 Page 22 - 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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