Care Home: Lampton House

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well Comments received through surveys from the people living at the home were positive in their views about the staff and the care they received. “Everything seems to be well done so well.” “Plenty of activities during the week.” “A good standard of food and a keen interest is shown by all the staff to the residents”. Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 “The accommodation is always neat and clean and smells fresh.” “Pleasant and cheerful staff.” “Our relative is very happy and always speaks very highly of the care she receives.” The Expert By Experience concluded in their report “It is my opinion that Lampton House provides a safe and welcoming home for its residents. The home encourages independence, social interaction and a homely environment. I only received positive comments from the residents I spoke to today”. What has improved since the last inspection? Although there were no people living at the home with complex mobility needs, we saw manual handling care plans and risk assessments. We were told that currently people only were being supported with their mobility by both walking aids and support from staff. What the care home could do better: There are no requirements. We have been informed of immediate and direct action taken since the inspection regarding medication practices. A good practice recommendation is made for the balance of medication to be carried forward on MAR charts. Key inspection report CARE HOMES FOR OLDER PEOPLE Lampton House 125 Long Ashton Road Long Ashton Bristol North Somerset BS41 9JE Lead Inspector Sarah Webb Key Unannounced Inspection 12th October 2009 09:30 DS0000008047.V378053.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lampton House Address 125 Long Ashton Road Long Ashton Bristol North Somerset BS41 9JE 01275 374669 01275 374669 christine@treasurehomes.co.uk 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) Treasure Homes Limited Sherry Kitchen Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who may be accommodated is 30 16th October 2007 Date of last inspection Brief Description of the Service: Lampton House is owned by Treasure Homes Ltd and provides personal care for up to 30 elderly people. The home is situated in a converted eighteenth century vicarage on the hillside of Long Ashton. The property is set back from Long Ashton Road, and is about half a mile from the centre of the village, approximately 2 miles from Bristol city centre. There are gardens to the front and rear of the home, and private parking is provided. The home has 30 single bedrooms. The majority of these have en suite facilities. A passenger lift provides access to a large proportion of the upper floors. The bedrooms on the first floor have level access whilst there are some bedrooms that are accessed by stairs. Mr David Gillespie, Managing Director of Treasure Homes, is the Responsible Individual for Lampton House. Mrs Sherry Kitchen is the Registered Manager. The current scale of charges was declared as £420.00 to £460.00 per week. Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection carried out over one day. An Expert By Experience from Help the Aged also visited the home and helped with the inspection process. They spoke with people independently of the inspector and gained peoples views of their experiences of living at Lampton House. Their findings are incorporated in this report. The pre inspection planning involved reviewing the report from the last Key Inspection completed in October 2007 and the Annual Service Review completed in October 2008. We also looked at the service history that details all other contact we have had with, or about the home. We looked at the Annual Quality Assurance Assessment (AQQA) completed by the Manager. This is a self assessment, which focuses on how well outcomes are being met for the people living at Lampton House. We received nine ‘Have your say’ surveys from people living at the home, nine from staff and one from a health care professional. We spoke with the Managing Director of Treasure Homes, the Manager, two staff and two people living at the home. We viewed all communal areas of the home and some bedrooms used by people living there. We gathered other information during this visit by looking at a number of records such as individuals care plans, risk assessments, daily records, incident and accident forms, complaints records, medication administration, staffing records and some health and safety procedures. What the service does well: Comments received through surveys from the people living at the home were positive in their views about the staff and the care they received. “Everything seems to be well done so well.” “Plenty of activities during the week.” “A good standard of food and a keen interest is shown by all the staff to the residents”. Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 Page 6 “The accommodation is always neat and clean and smells fresh.” “Pleasant and cheerful staff.” “Our relative is very happy and always speaks very highly of the care she receives.” The Expert By Experience concluded in their report “It is my opinion that Lampton House provides a safe and welcoming home for its residents. The home encourages independence, social interaction and a homely environment. I only received positive comments from the residents I spoke to today”. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Lampton House DS0000008047.V378053.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, & 5 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s Statement of Purpose provides all of the information required so that prospective people wanting to live at the home have the necessary information to make an informed choice about the home and the service they can expect to receive. People have the opportunity to visit the home to help ensure the home is suitable for them. Prospective people wanting to live at the home can be assured their health and social needs will be met through a full and comprehensive assessment carried out. EVIDENCE: We saw the Statement of Purpose. This set out the aims and objectives of the service and provided comprehensive details including the facilities on offer. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 9 This had been reviewed since the last inspection and now included information about the staffing arrangements. The manager told us she would visit people either in their homes’ or in hospital, after a referral was received. Pre-admission assessments were seen that included detailed information about prospective peoples’ health and social care needs. The information seen helped the manager to decide if the service met peoples’ needs. This was confirmed by a survey completed by a healthcare professional who told us ‘The assessment arrangements “always” ensure that accurate information is gathered and the right service is planned for people.’ Prospective people wishing to live at the home were able to visit to help them decide if this was the right place for them. Arrangements had been made for them to stay for a meal and get ‘a feel of the home’. Care records showed peoples’ needs were being regularly reviewed and monitored helping to ensure they were still being met. The manager told us that people could move to a nursing service, within the organisation, if their assessed needs become too great for the home to manage. All nine surveys received from people living at the home told us they had been given enough information to help decide if this home was the right place, before moving in. Surveys included many positive comments about what is being done well such as: “Warm and friendly environment.” “Friendly approachable staff.” “Although sad to leave my own home I have been made welcome and I am well cared for.” Surveys received from staff and health care professionals also included positive comments including: “The home cares for people in a warm, individual and friendly way.” “In my experience Lampton House is a happy safe environment for its staff and residents.” Five surveys from staff told us they “always” have enough support, experience and knowledge to meet the different needs of people while three said “usually” and one “sometimes”. However a comment included: “You can never have enough experience and knowledge we are learning all the time.” Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning and arrangements for meeting the health care needs of the people living at the home ensure needs are met. Although we found some discrepancies in how medication was administered, these were reviewed immediately with both good practice measures and more robust handling of medication put in place to ensure people are protected. People living at the home were confident in that they were being treated with respect. EVIDENCE: We saw five care plans of the people living at the home. These were detailed and comprehensive, showing good information about their needs. They included peoples’ physical and emotional, and healthcare needs. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 11 The service uses individual computerised care programmes for people that were seen to be updated regularly with any changes in peoples care. These were accessible to staff and helped to inform them and keep them up to date with any changes. Seven staff surveys told us they “Always” are given up to date information about the needs of people while two told us “sometimes”. Six staff told us they are helped to understand and meet the individual needs of people (Two were not answered and one said ‘No’) Five staff surveys told us they are kept up to date with new ways of working (Two were not answered and two said ‘No) Monthly evaluation records showed how the care of the people living at the home was being reviewed. Records of the progress of peoples’ care showed how healthcare needs and treatment was being monitored. Visits from professionals were being clearly recorded. A survey received from a healthcare professional told us ‘Peoples’ social and healthcare needs are always properly monitored, reviewed and met by the care service’ and ‘The home “always” seeks advice and acts on it to meet peoples’ social and healthcare needs and improve their well being.’ Individuals and their representative were given the opportunity to be involved in their care planning and this was seen through the care planning process. Although there were no people living at the home with complex mobility needs, we saw manual handling care plans and risk assessments. We were told that currently people were being supported with their mobility by both walking aids and support from staff. All nine surveys received from people living at the home told us they “always” receive the care and support needed. Seven surveys received from people living at the home told us the service “always” makes sure medical care is given, while two said this was “usually” the case. The Expert by Experience spoke with nine people in the two communal lounges and one in their own room. One individual told them that staff were always very attentive to their care needs, and that they felt cared for from “top to toe” and “the staff should be congratulated” for this. We also spoke with two people living at the home who told us staff were respectful, kind and caring. We looked at how the medication was being administered to the people living at the home. The medication administration record (MAR) charts for four people living at the home were inspected. There was a photograph of the person maintained with each record. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 12 The staff had signed for medication administrated, or recorded the reasons for any omissions. Controlled drugs had been recorded and two staff had signed when administered. Where one person managed their medication, a risk assessment had been completed. The manager showed us the arrangements for how medication was received and checked in. It was difficult to see what the balance was for one person’s prescribed ‘as required’ paracetamol and noted the previous quantity had not been carried forward on the MAR chart. Since our visit the manager from another home has carried out a full audit of this medication, and found no discrepancies. The Director has since ensured that the good practice measure of carrying forward balances of medication will be implemented. This practice helps to monitor the balance of stock and any omissions. We saw that three people were prescribed and administered the same type and dosage of medication separately. When we checked the three separate balances we found they did not correspond with the individuals’ MAR chart. This has also been audited since our visit and found that although there were the correct numbers of medication in total, individual supplies of the same medication had not been kept separate. This has been dealt with quickly and robustly and we have been told that practices in the handling and administration of medication have been reviewed. Staff training records showed that eight staff had completed training in medicine management. As part of the review all staff who handle medication and who had previously completed refresher training are to follow this up with Boots Pharmacy training. Four staff surveys told us they were given enough knowledge about health care and medication while three were not answered and two said ‘No’. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home benefit from social and recreational opportunities and in maintaining links with family, friends and the local community. The home’s practice and routines are flexible and enable people to exercise choice and to have control over their lives. People are consulted on choices of menu and are provided with meals that are balanced and meet the dietary needs of individuals in the home. EVIDENCE: We asked the Expert by Experience to look at how people were supported with their daily life and social activities and have incorporated their report into this section of the report. Providing social activities is obviously high on the agenda for the people living at Lampton House. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 14 A weekly activity plan was available in the lounge and an activity coordinator attended the home every week day. The manager was seeking to extend this role to cover the weekends in the future and to form a residents committee to seek ideas for further social activities and individual interests. The weekly plan included: gardening, bingo, music and movement, and piano sing-a-long. In addition to this, the home had internet access, holistic therapies and room based activities available at all times. Information was given out to people every week about the various activities they could join. A record of the activities was seen. These also included craft, a quiz, poetry, board games, reminiscence and a weekly visit by the hairdresser. Records were being kept of the names of the people attending and comments made. Completed activity evaluation records were seen In talking with individuals who live in the home they were positive about activities provided in the home. On the day of the visit an organ player had been bought in to entertain people and during the afternoon people could join in with playing the game of ‘scrabble’. People living at the home were also supported through a ‘buddy’ system. Volunteers took people out to lunch and used facilities in the local community. Comments from individuals included “quite a lot of entertainment”, “I play bingo and there are lots of music and things each day that I can attend if I wish”. One individual said they would like more day trips and this was something the home was looking to improve. The addresses of places of worship were on the notice board and the home accepted visits from local clergy. Some people said they were not aware of the location of the notice board. This was discussed with the manager in considering more accessible information to be provided such as large print and pictures. People living at the home were being supported in maintaining contact with their families and friends and for them to be involved in social opportunities at the home. Menu plans for the day were available for people to see on the notice board in the corridor. Three meals were provided daily in the dining room, which were very well presented. Menus seen provided varied and nutritious choices. One person stated they chose to have their breakfast in their room and this was not seen as a problem. People overall felt the food was good with a few comments received that told us choice was sometimes limited. We saw a survey the cook had given to people living at the home. Surveys asked people about their favourite foods, if they were happy with portion size and what improvements could be made. Peoples’ views and their choices were seen to be incorporated in the menu planning. We were told by staff that there had been ‘changes for the better’ for the people living at the home in being provided with more choice. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 15 We saw a ‘suggestion’ box in the hallway for people living at the home to give their views. We were told by people spoken with ‘Choice from the word go, even colour of the bread.’ Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are confident to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. People living at the home are protected from harm by policies and procedures about safeguarding them at all times. EVIDENCE: The service has a complaints policy and procedure in place People are given information about how to make a complaint. This was seen in information kept in their room. People spoken to said they knew who they would speak to if unhappy. Eight surveys received from people living at the home told us there was ‘always’ someone you can speak to informally if not happy. Six surveys told us that ‘staff always listen to you and act on what’s been said’ while three surveys told us this happens ‘usually’. We looked at complaints that had been recorded since the last inspection. Two complaints had been recorded in 2007, one in 2008, and three in 2009. The Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 17 complaints had been responded to appropriately, with details of the action taken and the outcome. Eight surveys from people living at the home told us they knew how to make a formal complaint, while one said they did not know. All but one of the staff surveys told us they knew what to do if someone had concerns about the home. The Expert by Experience asked the people living at the home about their personal safety. All those spoken with stated that they felt safe within the home and that they could speak to staff if they felt worried. One person commented that staff were always helpful and approachable. They said they had no problem reporting any worries to staff or going to see the manager if necessary. The service has an Adult Protection policy and procedure in place. We saw checks had been made on staff through the Criminal Records Bureau (CRB) before they had been employed to work in the home. We saw from training records that staff had been trained in recognising abuse during their induction, while senior staff were trained through an external provider in the Protection of Vulnerable Adults helping to protect the people living at the home from abuse. We noted the AQAA stated that staff would benefit from additional training in the Protection of Vulnerable Adults. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 24, 25 & 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a safe, clean and well maintained environment to live in. The home provides accommodation that is comfortably furnished with a ‘homely’ atmosphere. The environment is meeting the needs of the people living at the home with improvements being planned through refurbishment projects. EVIDENCE: Lampton House is a listed former vicarage situated on the hillside of Long Ashton. A drive led up to the home, and there was parking at the rear of the building and access to the home from the car park was level. The service had recently reviewed security due to a burglary and had improved security measures put in place. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 19 When the inspection took place, the home was clean and tidy. This was also confirmed through talking to the people living at Lampton House and by the majority of the surveys we received from people. The Expert by Experience stated in their report that all the people who were asked said they ‘felt happy that their rooms, communal areas and the exterior for the property were pleasing in appearance and always clean.’ We saw domestic staff at work and it was evident they showed a pride in their work. We saw adapted toilet and bathing facilities to suit peoples’ needs. These included a shower room on the first floor and a bathroom on the ground floor. All bedrooms had en-suite facilities apart from two and we were told by the manager that these are to be installed in the near future, Since the last inspection a step had been removed in the first floor corridor to help the people living at the home to move around the home independently. We saw appropriately placed and sufficient handrails to help people to also be independent around the home We were told through the AQAA that brighter lights in corridors had been requested by the people living at the home and that these had been installed. We were also told that people had been provided with new matresses. Although a hoist was not being used on a regular basis this equipment was available if needed. We saw two peoples’ bedrooms that were personalised and with the attractive fittings and furnishings helping to ensure the homeliness of the environment. People said that they liked their individual rooms. Some people had chosen to bring their own belongings into the home. People had been provided with flat screen televisions in their rooms. There was a large garden to the front of the property and the first floor lounge opened on to a patio and terrace. There was ramped access to this area. Since the last inspection, the first floor lounge and entrance hall had been redecorated and re-carpeted. We saw there were two communal lounges. One of the lounges was looked upon as a quiet area with no television while the second lounge had a television and piano. We saw drinks were available in both lounges. Several refurbishment projects were being planned and were in the process of improving the environment. The kitchen was being extended and re-fitted and a new reception facility by the main entrance door helped to greet visitors. A receptionist had been employed in this role. The managers office had been moved to be near the new reception area to also help meet visitors. We were told the previous managers office was going to be converted to a new bathroom and hair salon. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 20 We saw peoples’ laundry being processed and found this to be satisfactory, There was one staff based there during the day. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home benefit from staffing arrangements that meet their needs by a caring and competent team of staff. People living at the home benefit from robust recruitment procedures to make sure that as far as possible peoples’ health and welfare is protected. EVIDENCE: The staffing rotas were looked at and were seen to show that adequate staffing arrangements were in place. Eighteen staff were employed at the home with an additional 6 support staff. The support staff consisted of two domestics, a receptionist, activity coordinator and a cook. There were two staff on duty at night with one waking and one who ‘slept in’. These duties were rotated between the night staff. Since the last inspection a deputy manager had been employed to work alonside the manager. We were told by the manager that the employment of a receptionist/administrator had reduced her office-based workload allowing her to spend more time supervising the care of the people living at the home. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 22 Staff surveys received told us that although three staff felt there were ‘always’ enough staff to meet the individual needs of all the people living at the home, four said this was “usually”, the case with a further two stating “sometimes”. Comments received from people living at the home told us ‘Lampton House is a friendly homely but sometimes seems to be understaffed so that staff are too stretched to spend much time with individual residents. Most of them however are very helpful and kind.’ We looked at two staff recruitment records. These showed appropriate procedures had been followed in the recruitment of staff to help ensure the people living at the home were being protected. Completed applications, and two references had been received and were seen in staff files. All the staff surveys confirmed checks were made and references carried out before starting work. We saw new staff competed an induction period. This was seen through records of their induction. Staff attended mandatory training during this period. Six staff surveys told us their induction covered everything “very well” that they needed to know to do the job when they started while three surveys said “mostly”. We spoke to two staff who demonstrated their knowledge and had a good understanding of the needs of the people living at the home. The AQAA told us over 50 of the staff had completed National Vocational Qualification (NVQ) training. A further five staff had been registered to start this qualification this year. The Manager was in the process of completing the Registered Managers Award The manager and deputy are both trainers and train new staff in manual handling procedures with three monthly updates for existing staff Training records showed seven staff had attended first aid training. Since the inspection we have been informed that although not all night staff had been trained in first aid, there are arrangements in place for one of the two night staff on duty to have this training. The Director has confirmed that four night staff had been booked to attend first aid training. We saw that seven staff had received training on dementia through the training matrix. However since the inspection we have been informed that a total of eleven staff had attended ‘a series of three dementia workshops between 23rd September 2008 and 12th February 2009’ and that this was not reflected in the matrix we saw. One member of staff told us this training had helped them to do their job and support people with their needs. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 23 Other areas of training staff had attended included food hygiene, nutrition, health and safety, infection control, epilepsy, and with diabetes training being planned. Eleven staff had attended Dignity in Care, and nineteen had attended training in Diversity. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 24 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, & 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home benefit from opportunities to express their views about the service they receive. The practices of the home help to make sure that their health, safety and welfare is protected. EVIDENCE: Conversations with the people using the service and staff as well as observations made during the inspection confirmed Mrs Sherry Kitchen’s open management style. Staff told us they felt confident to comment on running of the home and that Mrs Kitchen had improved the ethos of the home. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 25 People spoke positively about Mrs Kitchen describing her as “approachable” “someone we can talk to”. All the records seen during the inspection were appropriately stored and were well maintained. Mrs Kitchen holds ‘pocket money’ for a number of people living at the home and this was seen to be securely stored. We saw questionnaires that had been sent out to relatives in 2009 asking them for their views about Lampton House. An action plan resulting from the findings showed action had been taken in response. We have recorded in detail in previous areas of this report how the views of the people living at the home are asked for through care planning, menu planning, and residents’ forums. It was evident that this is an area that has improved since the last inspection. A fire safety policy and an evacuation policy set out the arrangements for keeping people living at the home safe in the event of an outbreak of fire. The manager had completed a fire risk assessment in September 2009. A fire officer had visited the home in 2008 and carried out an inspection. Fire records showed fire equipment had been tested and fire safety checks had been made regularly. New staff had received fire training during their induction and all staff had attended fire training in 2009. However the record of fire drills showed there had been some lapses in 3 monthly drills taking place. This was discussed with the manager who ensured this would be followed up directly. Records showed health and safety checks had been made on equipment such as the hoist and the lift. Electrical equipment had also been serviced. The Manager supervises the senior team, while they in turn supervise the care staff and domestics. We saw supervision arrangements for staff to be supervised four times a year on a formal basis. We were told by all staff spoken with that informal supervision is ongoing and happens daily. We saw a timetable for planned supervisions and appraisals. Six staff surveys told us they regularly meet with their manager for support and discuss how they are working while one said “often” and two said “sometimes” Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 26 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 3 x 4 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 27 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. 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 OP9 Good Practice Recommendations Maintain ongoing balances of peoples’ medication on MAR charts. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 28 Care Quality Commission Care Quality Commission South West Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Lampton House DS0000008047.V378053.R01.S.doc Version 5.3 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!