Inspection on 16/02/06 for Thornton Leigh Care Home

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Thornton Leigh Care Home 19/02/08

Thornton Leigh Care Home 18/10/06

Thornton Leigh Care Home 02/12/05

Thornton Leigh Care Home 21/03/05

Thornton Leigh Care Home 13/10/04

Thornton Leigh Care Home 25/03/04

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 Thornton Leigh Care Home 42 Huyton Lane Huyton Knowsley Merseyside L36 7XG Lead Inspector Mrs Joanne Revie Unannounced Inspection 16th February 2006 10:00 X10015.doc Version 1.40 Page 1 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 Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 2 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. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Thornton Leigh Care Home Address 42 Huyton Lane Huyton Knowsley Merseyside L36 7XG 0151-489-1950 0151 480 9703 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Ronald William Baker Mrs Valerie Elizabeth Baker Mr Ronald William Baker Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15), Physical disability over 65 years of age of places (15) Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 15 OP and up to 15 PD(E) Date of last inspection Brief Description of the Service: Thornton Leigh is owned and managed by Mr and Mrs Baker. Both are retired nurse tutors who also hold a recognised nursing qualification. The home is an older property, which has been well maintained and has many original features. This helps to promote a comfortable and homely atmosphere. Thornton Leigh benefits from an established garden, which is readily accessible to residents. The home is situated on a main road within walking distance of the shopping facilities of Huyton Village. The home is managed around the Christian Ethos. Prayer meetings are held twice weekly and daily readings from the bible are read at lunchtime for those residents who follow a Christian faith and wish to be involved. Residents who are non Christians are also welcome at the home. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours. The purpose of the visit was to assess the remaining core standards, which were not assessed during the inspection in November 05. For an overview of the service the reader should refer to both reports. A tour of the environment was undertaken. A variety of documentation was viewed which will be referred to in the evidence section of the report. Discussions were held with some residents and their comments are included in the summary section of the report. What the service does well: Each resident receives a full assessment by the manager before admission takes place. This focuses on all the residents needs and wishes. This means that the home can ensure it can meet someone’s needs before they move into the home. This reduces the risk of a resident living somewhere that cant care for them. Residents have access to the homes complaints procedure in their bedroom. This shows that the service is open about receiving concerns. Necessary checks are undertaken on all new staff including police checks and references. This means that the service tries to ensure that the residents are” in safe hands”. The home should be commended for day time staffing levels within the home. This shows a commitment to provide quality care and a quality service. The service acts responsibly towards health and Safety by ensuring fire prevention equipment is working and that staff have had training on how to use it. Practise evacuations regularly occur also. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 6 Residents were complimentary about the staff’s ability to care. One confided that “ I had an off day yesterday but the girls are good and now I’m much better”. Another stated” the girls are very kind, I want for nothing”. Another stated” I’m very happy here, the foods lovely, the girls are nice and (the manager) is very kind”. What has improved since the last inspection? What they could do better: Although training has greatly developed since the last inspection many staff have not undertaken training on abuse awareness. This must be addressed to ensure that staff have the skills and knowledge to protect the residents and uphold their rights. The manager should also consider informing senior staff of how to report potential abuse in her absence. Some senior staff have recently undertaken training on the administration of medication. However other senior staff undertook this training some time ago. This should be revisited to ensure staff are managing medication in line current practise. New staff are offered induction training to ensure that they have the basic skills to be able to care for the residents. Some other services in the local area have accessed “ foundation training” for new care staff. This involves one day away from the workplace and delivers all mandatory training in one go. Some services find this an easier option rather than the training being delivered in steps. The manager should consider this and decide whether it’s appropriate for Thornton Leigh. No Quality assurance systems are in place at the home. This must be considered and developed. Residents, relatives and staff should be surveyed for their views on the service offered. The results should then be published and made available along with any actions taken if required to address any shortfalls. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 7 Many of the resident’s representatives live away from the area and in some cases no representative is available. In this instance the responsible individual has become the appointee for personal allowances. This should be reconsidered and wherever possible relinquished. If this is not possible then a third party should be introduced in the form of advocacy. 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. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 the following standard(s): 3 Each resident receives a full assessment prior to admission. EVIDENCE: A care plan and assessment documentation for the two most recent admissions to the home was viewed. A discussion was held with the manager and a resident. The resident confirmed that she had been well looked after since admission to the home. The care plan and progress records showed that needs were being met. The manager confirmed that she undertakes all assessments and documentation viewed proved this to be true. All residents’ preferences including food and social needs were recorded as well as medical and physical needs and abilities. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 the following standard(s): No standards were assessed from this section on this occasion. EVIDENCE: Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 16,18 Concerns are addressed on a daily basis. Not all staff have the skills to protect the residents from abuse. EVIDENCE: Viewing all bedrooms showed that each has a copy of the homes complaints procedure displayed on the back of the bedroom door. This procedure was read and complies with the Care Home regulations 2001.The manager explained that staff deal with small concerns on a daily basis e.g. missing laundry etc and then inform the manager of any action taken. Viewing the complaints book showed that formal complaints are rarely made. A training plan was viewed which showed training undertaken to date. Some staff have received training on abuse awareness and the protection of vulnerable adults. Four staff undertook training in 2004 and two staff undertook training in 2005. A copy of Knowlseys Adult Protection Guidelines was available in the office. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 26 Residents live in a clean home. EVIDENCE: A tour of the environment was undertaken and a copy of the off duty was viewed. All communal areas and bedrooms were viewed and all appeared clean and smelt pleasant. The off duty showed that two domestic staff are available everyday with the exception of one day when only one is available. During the tour it was evidenced that those areas, which were identified as needing redecoration following the last visit, had been addressed. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 The home is consistently staffed well to meet the resident’s needs. New staff have all necessary checks carried out to make sure residents are in safe hands. Staff have received training to do their jobs. EVIDENCE: Viewing the off duty showed that the service is consistently staffed with four staff every morning, three staff every afternoon and evening. A waking staff member is available overnight with the manager being available on call as she lives on the premises. Often staffing levels are increased further during the day according to needs. The manager is supernumerary to care staff and regularly delivers care to the residents. Viewing three staff files showed that the service ensures that all necessary checks are undertaken on new staff. Certificates within the files showed that theses staff have received mandatory training shortly after employment started. The manager delivers induction training around the homes policies and procedures. Viewing the training plan and holding a discussion with the manager showed that training has greatly developed since the last inspection. During 05 staff undertook training on Health and Safety, First Aid, Food Hygiene and moving Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 15 and handling. Two staff have recently undertaken training on care of medication. Other staff undertook this training in 2001 and 2003. As previously mentioned not all staff are up to date with Abuse awareness training. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,38 Quality Assurance systems have not been developed. Resident’s finances are safely managed. Residents live in a safe home. EVIDENCE: A discussion took place with the manager who confirmed that she doesn’t undertake annual surveys of resident’s relatives, visiting Health professionals or staff views of the service offered. The manager stated that the responsible indivual for the service acts as appointee for some residents. Their personal allowance records were viewed and were found to be clear with a running total being kept and receipts, which corresponded with the amounts withdrawn. All monies are recorded in a page numbered bound book. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 17 Records and certificates were viewed which relate to health and Safety. Portable appliance testing has been done and is current. The service has a current gas and electrical safety certificate. Water temperatures are randomly tested monthly and bathrooms have bath thermometers, which the manager stated staff use to test water before assisting residents to bath. The service has a working fire alarm, which is tested weekly. All staff have received fire prevention training and records also showed that practise evacuations are performed three monthly. Staff record accidents clearly and viewing records showed that accidents occur infrequently. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X X X X X X 3 STAFFING Standard No Score 27 4 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X 3 X X 3 Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 OP18 Regulation 13.-(6) Requirement The manager must ensure that all staff undertake training on abuse awareness and understand how to report potential abuse depending on their role. The manager must familiarise herself with this standard and survey residents, relatives, staff for their views on the service offered. Timescale for action 31/05/06 2 OP33 24 (1)(a)(b) (2)(3) 30/06/06 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 3 Refer to Standard OP30 OP29 OP35 Good Practice Recommendations The manager should consider offering refresher training to senior staff who administer medication The manager should explore whether Foundation training is available in the local area to new staff as this could act as an induction and would deliver all mandatory training. The responsible individual should relinquish appointee ship wherever possible and introduce advocacy into the home DS0000021485.V283681.R01.S.doc Version 5.1 Page 20 Thornton Leigh Care Home to act as a third party for those residents who have no representative. Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Thornton Leigh Care Home DS0000021485.V283681.R01.S.doc Version 5.1 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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