Inspection on 05/09/05 for The Limes

This inspection was carried out on 5th 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 Limes 15/06/05

The Limes 02/02/05

The Limes 27/09/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE The Limes Derby Road Hinckley Leicestershire LE10 1QF Lead Inspector Linda Clarke Unannounced 5 September 2005, 9:45am th 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 Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Limes Address Derby Road Hinckley Leicestershire LE10 1QF 01455 611728 01455 611728 None Leicestershire County Council Social Services 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) Alison Patricia Binns Care Home 40 Category(ies) of Dementia - over 65 years of age (30), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability over 65 years of age (20), Sensory Impairment over 65 years of age (4), Sensory Impairment (4), Physical Disability (8), Mental Disorder (4), Dementia (8) The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person to be admitted to the home in categories DE or DE(E) when 30 persons in total of these categories/combined categories are already accommodated in the home.No person falling within category DE may be admitted to the home where there are 8 persons of category DE already accommodated in the home.No person to be admitted to the home in categories DE or DE(E) when 30 persons in total of these categories/combined categories are already accommodated in the home.No person falling within category MD may be admitted to the home where there are 4 persons of category MD already accommodated in the home.No person falling within category MD(E) may be admitted to the home where there are 6 persons of category MD(E) already accommodated in the home.No person to be admitted to the home in categories MD or MD(E) when 6 persons in total of these categories/combined categories are already accommodated in the home.No person falling within category PD may be admitted where there are 8 persons of category PD already accommodated in the home.No person falling within category PD(E) may be admitted where there are 20 persons of category PD(E) already accommodated in the home.No person to be admitted to the home in categories PD or PD(E) when 20 persons in total of these categories/combined categories are already accommodated in the home.No person to be admitted to the home in category SI when there are 4 persons of category SI already accommodated in the home.No person to be admitted to the home in category SI(E) when there are 4 persons of category SI(E) already accommodated in the home.No person to be admitted to the home in categories SI or SI(E) when 4 persons in total of these categories/combined categories are already accommodated in the home.No person falling within category LD(E) may be admitted to the home where there are 4 persons of category LD(E) already accommodated in the home.No person under 55 years of age who falls within categories DE, PD, MD and SI may be admitted to the home.To be able to admit the named person of category LD named in variation application number V104 dated 25/11/03. Date of last inspection 15th June 2005 The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: The Limes is a care home providing personal care and accommodation for forty older persons, incorported within the home are eight beds for the purpose of respite care for individuals with Dementia. The forty single bedrooms are without ensuite facilities. The home has a central coutyard which is well maintained and which is accessible to all residents residing in the home. The premise is owned by Leicestershire County Council Social Services Department and is situated close to Hinckley town centre where residents have access to shops, pubs, post office and other amenities. The home is easily accessible by private or public transport. Accommodaiton is provided over two floors with access between the floors being via stairs or a passenger lift. The Limes is fully accessible, and communal areas are provided on both floors of the home. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 9.45am and 1.45pm. The opportunity was taken to look around parts of the home, spend time with residents, view records which, included viewing the care plans of three residents residing at the home, and one individual accessing the rehabilitation unit. The Registered Manager facilitated the Inspection, spending time with the Inspector; the Inspector also interviewed two members of care staff. What the service does well: What has improved since the last inspection? The appointment of an Activity Organiser who has canvassed and recorded the views of residents with regards to recreational and leisure pursuits, has provided residents with regular access to activities, both external and internal to the home. The refurbishment of a seating area and dining room have provided an aesthetically pleasing environment in which residents can relax and eat their meals. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 7 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 Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 8 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 Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 9 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 6 is not applicable. EVIDENCE: Standards within this section were not inspected on this occasion. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 10 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, 8, 9, 10 and 11. Residents are looked after well in respect of their health and personal care needs and are supported in a manner, which promotes privacy and dignity. EVIDENCE: Care plans of three residents’ were viewed, care plans detailed information as to resident’s health care needs, including specific information pertaining to illness and death, where indicated by residents and/or relatives. Care plans could be further developed to encompass a comprehensive care plan as to residents mental health needs. The care plan of one individual accessing respite was viewed, this contained an initial assessment and an individual plan of care. Daily records evidenced contact with medical professionals, which included General Practitioners, District Nurses, Opticians and Occupational Therapists. The medication and administration records of those residents whose records were viewed were inspected and found to be in good order. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 11 The Inspector received twelve completed resident questionnaires, eleven indicated they were well cared for and were treated well by staff and that their privacy was respected. The Inspector received four completed relative questionnaires, all of which confirmed they were satisfied with the overall care provided. The Inspector spoke with residents who made various comments as to the care they received. “The staff are lovely.” “I like living here.” “The staff are friendly and cheerful.” The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 12 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. Various formal and informal activities are made available meeting residents’ recreational needs and residents receive a balanced and varied diet. EVIDENCE: The Activity Organiser has met with all residents to discuss their interests and hobbies, which have been recorded. Residents participation in activities is recorded along with any comments they have made, this practice is to be commended. Residents have recently had the opportunity to visit Twycross Zoo, have a meal at The Gate at Osbaston, and a recent Summer Fayre held at The Limes raised money for the benefit of residents. A variety of activities within the home are also organised, on the day of the Inspection a group of residents supported by two members of staff were participating in a game of bingo. The Inspector sat with residents during the lunchtime meal, residents made positive comments as to the food at The Limes, alternatives are always available, and residents are encouraged to serve themselves by the placing of vegetables in serving dishes on dining tables. The Inspector received twelve completed resident comment cards, of which eleven indicated that they liked the food. The Limes C51 C01 S32890 The Limes V246465 050905 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) EVIDENCE: Standards within this section were not inspected on this occasion. The Limes C51 C01 S32890 The Limes V246465 050905 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, 25 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including garden areas, which individually and collectively meet the resident’s needs. EVIDENCE: The Limes has a central courtyard, which houses a gazebo and seating, with plants and flowers in pots. A resident who enjoys gardening tends to plants within the greenhouse, which is located in the courtyard. Communal lounges are provided on the ground and first floor. The seating area leading into the dining room has been refurbished and provides a large television; the dining room has also been refurbished, which includes new windows and doors, which lead directly into the central courtyard. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 15 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 and 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Records evidenced that The Limes employs twenty five care staff of which fifteen have attained an level 2 National Vocational Qualification in Care, the level of achievement is to be commended. The Inspector interviewed two members of staff who confirmed that they’d received training in a variety of health and safety topics, which includes moving and handling, hoist awareness and first aid. In addition staff have accessed training in dementia and stroke awareness. The Departmental Training Plan details training available to care staff in care plan and record writing and medical conditions including physical and mental health. Care staff should therefore be encouraged to access these courses to increase their awareness and develop service user care. Staff interviewed confirmed the staffing levels, indicating that there were generally five care staff on duty in the morning, with three for the afternoon and five for the evening. The four completed relative questionnaires indicated they felt there were always sufficient numbers of staff on duty. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 16 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, 32, 33, 35, and 36. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: Care records indicated that financial arrangements were managed in a variety of ways, by the resident themselves or by their relatives. Staff members interviewed confirmed that they received regular supervisions from a member of the management team. The Registered Manager has completed at level 4 a National Vocational Qualification in Care, and is currently working towards the Registered Managers Award. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 17 The Inspector viewed minutes from both resident and staff meetings, which evidenced that the practices within the home and the views of residents and staff are sought. The resident meeting evidenced that residents discussed activities to which residents suggested areas of interests. Staffing and the refurbishment of the dining room were also discussed. A risk assessment has been carried out with regards to the health and safety of residents in relation to stairwells and stairs within The Limes. The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 18 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x 3 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 3 x 3 3 x x The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 19 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. Refer to Standard 7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Daily records contain more detailed information, indicative of their care plan. It is recommended that access training in care plan writing and medical conditions, including mental health and dementia as detailed within the Departmental Training Plan. 2. 30 The Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leics LE19 1SX 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 Limes C51 C01 S32890 The Limes V246465 050905 Stage 4.doc Version 1.40 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. 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