Care Home: Landermeads Care Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well People are provided with information about the service and effective pre admittance assessments are performed prior to people moving in to ensure their needs can be met. People said they are provided with the opportunity to participate in a range of social activities and they can maintain contact with their family and friends as they wish. People are provided with a well-balanced, varied menu. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 6People said that they are always treated with respect and dignity, felt safe and well looked after. Complaints are documented and managed effectively. All areas at the Landermeads are homely, comfortable and safe. Specialist equipment is available to promote people`s independence and wellbeing. The number of staff employed at the home meets people`s needs and staff receive training to promote the health and wellbeing of the people. The home is run and managed by people who are fit to be in charge and the safety and welfare of people who use the service is promoted through routine maintenance. What has improved since the last inspection? The homes Service User Guide has be updated to include the fees charged. The assessment process and support plans have been improved and are now effective in identifying the specific needs of people who use the service. The administration and management of medicines promotes peoples safety. Effective quality auditing procedures are now performed. Staff at the home receive supervision to identify their developmental needs. CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Landermeads Care Home 265 High Road Chilwell Nottingham NG9 5DD Lead Inspector Steve Keeling Unannounced Inspection 4th August 2008 09:00 X10029.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 Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Landermeads Care Home Address 265 High Road Chilwell Nottingham NG9 5DD 0115 925 6996 0115 922 4454 ros@landermeads.com 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) Landermeads Investments Limited Mr Robert Alan Heath Mrs Rosalind Heath Care Home 89 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (34), Old age, not falling within any other of places category (73), Physical disability (16), Terminally ill (4) Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service will limit its services to the following categories of Service Users Old Age not falling within any other category (OP) 73 (both) Physical Disability (PD) 16 (both) Terminally Ill (TI) 4 (both) Dementia , over 65 years of age (DE/E) 34 (both) Dementia (DE) 5 (both) 1 named person under the age of 65 with physical disabilities (1).(Name available in the documentation relating to minor variation dated 8th November 8th August 2007 2. Date of last inspection Brief Description of the Service: Landermeads is an 89 bedded home situated in Chilwell on the outskirts of Nottingham. The home is divided into three units: The Meads, Lander House and Catherine Tam House. The Meads provides care for 39 residents, the majority of whom have dementia. Lander House provides care for 34 residents who require nursing and personal care. Catherine Tam House provides care for 16 younger adults with physical disabilities. The internal and external environment is suitable for people with limited mobility and is wheelchair accessible throughout. The home is surrounded by well-established gardens and car-parking facilities are available. A copy of a statement of purpose and service users guide is available to all people who use the service and their representatives when required. The fees currently charged at the home range from £520 to £595. There is an extra charge newspapers, hairdressing, toiletries and podiatry services. The quality rating for this service is 2 star this means the people who use this service currently experience an Good quality outcome. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting people who use the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Two deputy managers, two members of staff and two visitors to the home were spoken with as part of this visit. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of people at the home. A partial tour of the buildings was undertaken which included a sample of people’s bedrooms, to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. Additional information was used to determine the outcome of this visit, which included information provided by the registered provider within an Annual Quality Assurance Assessment. Ten “Have Your Say” surveys were sent to people at the home on the 16th July 2008, the Commission for Social Care Inspection has not received any responses from the questionnaires. What the service does well: People are provided with information about the service and effective pre admittance assessments are performed prior to people moving in to ensure their needs can be met. People said they are provided with the opportunity to participate in a range of social activities and they can maintain contact with their family and friends as they wish. People are provided with a well-balanced, varied menu. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 6 People said that they are always treated with respect and dignity, felt safe and well looked after. Complaints are documented and managed effectively. All areas at the Landermeads are homely, comfortable and safe. Specialist equipment is available to promote people’s independence and wellbeing. The number of staff employed at the home meets people’s needs and staff receive training to promote the health and wellbeing of the people. The home is run and managed by people who are fit to be in charge and the safety and welfare of people who use the service is promoted through routine maintenance. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP1, OP3, YA 1, YA2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with information about the service within a service uses guide. People have assessments performed prior to moving into the home. They are also provided with the opportunity to visit the home prior to gaining residency, so they can determine the suitability of the home in meeting their needs. EVIDENCE: Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 9 A statement of purpose and service users guide is made available, which sets out the aims, objectives, philosophy of care and the services and facilities at the home. The statement of purpose also contains the fees charged and a complaints procedure, which is available in “signs and symbols” and audio formats to aid people who require assistance to communicate. Information provided within the Annual Quality Assurance Assessment stated that people are provided with the opportunity to spend time visiting the home and to have meals in the home environment so they can determine the suitability of the service in meeting their needs. If a bed is available people are offered a trial overnight stay so they can decide whether the placement is appropriate. If for any reason people decide that after the initial trial period, they do not wish to stay at the home, a charge will not be made. Relatives and friends are also encouraged to visit at any time and to share meals, without charge, so they can assess the suitability of the service in meeting their relatives needs. A person who uses the service said, “I have had respite care here so I know the home, I have always thought it was very nice and the staff are excellent as well”. A visitor to the home said “I visited the home prior to my husband moving in to see what it is like. It’s very nice here. I was given some information about the home at that time”. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP7, OP8, OP9, OP10. YA6, YA9, YA16, YA18, YA19, YA20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The identified needs of people who use the service are met. People’s privacy is promoted and they are treated with respect and dignity. Medication management promotes peoples safety. EVIDENCE: Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 11 Person centred support plans are developed in consultation with people who use the service and are based on the initial needs assessment. The support plans provide staff with sufficient information to promote peoples health and wellbeing. The support plans are individualised and on the whole well presented although some hand written support plans were difficult to read. The support plans are effective in ensuring that people who are not familiar with the individual could deliver a personalised and consistent person centred service. The plans are reviewed on a monthly basis to ensure changing needs are identified and met. The support plans include risk assessments, which are regularly reviewed to ensure risks are managed positively whilst promoting people’s independence and safety. A person who uses the service confirmed that he is involved in the support planning process; he said, “I have seen my care plans but I am not that bothered with them. I could see them I wanted”. Records showed that people receive visits from general practitioners, podiatrists, opticians ect. A person who uses the service said “the staff will call a doctor if needed, I only have to ask, although I am generally very well. I do have a chiropodist on a six weekly basis and the optician calls when needed”. A part time physiotherapist treats people on an individual basis as specified in their support plans. Group physiotherapy sessions are also performed once weekly. A large pharmaceutical retailer provides medicines to the home plus advice and training opportunities for staff. A medication round was observed; the medication was administered in a safe manner. Medication Administration Records (MAR) had no gaps present and medication administration was recorded effectively. Medication, which requires refrigeration, was stored within secure fridge facilities. The temperature within the medication fridge is recorded on a daily basis and was within the required temperature range. A person who use the service said, “The staff are always available when I need them, I never have to wait. I am always given plenty of time, we have a good laugh and joke together. They always promote my respect and dignity, they are great, and I have no concerns”. A visitor to the home said, “Staff are very kind and considerate, I am extremely happy with the service and could not fault any aspect of care. My husband has dementia, the staff always treat him with respect”. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP12, OP13, OP15 YA12, YA13, YA15, YA17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can participate in a range of social activities. Their rights and responsibilities are upheld and they can maintain contact with their family and friends as they wish. People are provided with a well-balanced, varied menu. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 13 EVIDENCE: Social activity co-ordinators are employed at the home to provide a varied and stimulating social activities programme, which includes in house entertainment such as sing-a-long sessions, quizzes, cooking sessions, craft mornings, cheese and wine evenings and formal dinners. A wheelchair accessible minibus is available for people who use the service to access trips out to football matches, local parks, garden centres, shopping expeditions, swimming sessions and the cinema. A visitor to the home said that her husband had recently been on a boat trip. She said, “He particularly enjoyed the boat trip and he also enjoys the guest entertainers who attend the home on a regular basis, they have sing songs, which are great fun”. The visitor also said that she was invited to attend an Easter tea and said, “It was fantastic, the buffet included a whole salmon, fancy cakes, pork pies and sandwiches, I could not ask for more. We were not charged for it, which is very good” A person who uses the service said “ I like the social aspect of the home we play bingo, board games, its always good fun here, always plenty happening. Birthdays and seasonal events are also celebrated” Holy Communion is performed each Sunday and links with other religious denominations in the local community have been established when required for people of all faiths. A large well-equipped sensory room is available to people. Two sensory gardens with raised beds and seating areas are available to facilitate people’s interest in gardening. Chickens are also kept in the grounds of the home with the intention to involve people in their care if they wish. People who use the service and a visitor to the home said that an open door policy is promoted. They said that visitors are always made very welcome and are always offered a drink. A person who uses the service said, “The food is not bad at all, we always have good size meals with plenty fresh vegetables. A choice is always made available. If I don’t fancy what’s on offer they will always provide me with an alternative”. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 14 We observed people who required help at meal times, they were supported by care staff in a patient, understanding and respectful manner. A visitor to the home said, “I come almost every day, I think it’s a great place. I often have meals here, the food is fantastic”. Another visitor said, “I look on the staff as friends, they are so patient and considerate, an example being that my husband takes a long time to have meals, staff always give him enough time, they are very patient”. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP16, OP18, YA22, YA23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People said that they felt safe at the home and were confident that the staff would deal with concerns and complaints efficiently. Staff have received training in Safeguarding Adults EVIDENCE: A clear written complaints procedure is displayed in the main entrance and the procedure is supplied on admission within the service users guide. The complaints procedure is also available in a “signs and symbols” format to aid people to express concerns and complaints. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 16 People who use the service said they felt safe in the home, they felt confident that they could report any concerns to the owners, manager or senior member of staff and that they would be addressed. Visitors to the home were asked if they know what to do if they were not happy with the service and would they be confident enough to make a complaint. Responses included “They are very good here, they listen, I would speak to the manager or one of the staff” and “I have never had cause to complain as its so nice here but I would go to the owners or the managers and they would sort anything out for me, they are all very approachable”. The Commission for Social Care inspection has received one complaint since the last unannounced inspection and the management team at the home have received two complaints. Records showed that the managers record complaints effectively and liaise with Social Service departments to ensure all complaints are investigated and satisfactory outcomes are achieved, thus promoting the health and wellbeing of people who use the service. Records showed that staff have received training in relation to the Safeguarding Adults and staff spoken with were able to confirm this. The revised Nottinghamshire Safeguarding Adults policy is also available for guidance should staff suspect abuse is happening in the home. A member of staff could not provide a full account of the actions to be taken if abuse was suspected. The member of staff viewed her role as reporting to the manager or senior care staff rather then consideration of completing an alert under safeguarding adult procedure. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP19, OP22, OP26, YA24, YA29, YA30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, comfortable and safe environment, which is clean and hygienic. Specialist equipment is available to promote peoples independence. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 18 EVIDENCE: As mentioned earlier in the report, Landermeads comprises 3 units: one for elderly residents, one for young physically disabled clients and one for residents with dementia. We performed a partial inspection of the three units. All are furnished to a good standard and the internal environment, including the people’s bedrooms, dining rooms and the lounge areas, are clean, fresh and homely throughout. People are encouraged to personalise their bedrooms with small items of furniture, televisions, radios and family pictures to further promote a homely environment. Specialist equipment such as adjustable height beds, mobility hoists, stand aids, alternating electric mattresses, wheelchair scales, specialist bathing equipment and wheelchair friendly minibus is available. Records showed and staff said that they had received training in infection control; they said that protective aprons and gloves are available and used at all times. People who use the service and visitors to the home were very satisfied with the standard of cleanliness, comments included “My room is cleaned daily, I’m happy, its very nice and clean all the time” and “The staff do a great job here, the rooms are cleaned daily, its always very nice and clean” and ““always very clean and tidy, its lovely”. As mentioned earlier in the report (OP12) a well maintained, secure garden area is available with a range of garden furniture and a BBQ. The garden area is accessible to people with impaired mobility and is well maintained and very pleasant. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, OP28, OP29, OP30 YA32, YA34, YA35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff employed at the home meets people’s needs. Staff receive training to promote the health and wellbeing of the people and recruitment practices are effective in promoting safety. EVIDENCE: Visitors to the home said “I believe my husband is getting the best care from the staff, they always meet his needs, I am so happy we have a place here” and “ they [staff] are very good, I am always contacted with any developments, the staff are marvellous, they could not do any more”. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 20 A person who uses the service said “the staff are always available when I need them and I never have to wait, they always give me plenty of time and we have a good laugh and joke together”. Records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained together with two satisfactory references and proof of identity. Information provided within the Annual Quality Assurance Assessment showed that the service has achieved 66.3 of staff trained to or working towards a National Vocational Qualification (NVQ) level two and above to ensure a suitably qualified workforce is employed at the home. Records showed and staff confirmed that on commencing employment staff are enrolled on an induction programme which is based on the “Skills for Care” common induction standards. Additional annual training is also provided in relation to infection control, moving and handling, tissue viability, housekeeping, continence management, safeguarding adults, the mental capacity act and first aid. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP31, OP33, OP35, OP38. YA37, YA39, YA42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 22 The home is run and managed by a person who is fit to be in charge and the safety and welfare of people who use the service is promoted. EVIDENCE: People who use the service expressed a great deal of confidence in the manager’s ability to provide a safe and comfortable environment. Comments included “It’s a great home, the managers and staff are fantastic and always available, I have anything I need”. Staff also expressed confidence in the management structure and said, “this is the best place I have worked at, the owners and managers are very supportive”. Information provided within the Annual Quality Assurance Assessment shows that policies and procedures are updated on an annual basis and staff confirmed that they have access to the policies and procedures at all times for reference and guidance. Quality assurance reviews are performed at Catherine Tam House in the form of a “The Quality Tree”. The Quality Tree involves residents, their representatives and professionals being provided questionnaires on an annual basis to determine their satisfaction levels. The findings of the questionnaires are correlated and made available at the home. An additional quality-monitoring tool has also been initiated, which is performed on a monthly basis. The revised monitoring tool provides the opportunity to determine the quality of service provision throughout the home, which includes support plans and medication management. Records showed and staff confirmed that care staff receive formal bi monthly supervision sessions and annual appraisals to ensure they are effectively supported and developed to perform their roles within the home. People who use the service and their representatives said that they are encouraged to attend meetings to provide them with an opportunity to be involved in developments at the home and discuss the quality of care provided. Information provided with the Annual Quality Assurance Assessment states “We do encourage residents (or their relatives/appointees unless there is a definite wish not to involve them) to retain control of finances. However there are some residents who either do not wish or do not have the capacity to manage their finances and do not have anyone else to do so on their behalf. For this small group we do manage monies on their behalf. When this is the Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 23 case each person has a separate account and all transactions are clearly identified and receipts obtained. These residents have access to their accounts at any time”. On this occasion we did not inspect the financial records, as the administration officer was not on duty, at previous inspections it was demonstrated that people’s finances were well maintained. Information supplied by the registered provider within the Annual Quality Assurance Assessment evidenced that people’s health and wellbeing is promoted by effective routine maintenance. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 24 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 3 2 x 3 3 4 x 5 x 6 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 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 ENVIRONMENT Standard No Score 19 3 20 x 21 x 22 x 23 x 24 x 25 x 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 3 34 x 35 3 36 3 37 x 38 3 Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP18 Good Practice Recommendations Some hand written support plans were difficult to read as it is recommended that they are presented in a more legible format. It is recommended that refresher training to staff in relation to their roles and responsibilities in reporting suspected abuse. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Landermeads Care Home DS0000026449.V369561.R01.S.doc Version 5.2 Page 27 - 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!