Care Home: Laneside

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What the care home does well The home presented with a warm and friendly atmosphere and there was good interaction between the service users and staff. Staff interviewed had a good knowledge of the service users` physical and social care needs and how to provide the right level of support for them. During the visit we saw that the service users were offered help in a discreet way, the staffs` approach was also gentle and supportive. It was evident that the staff had close relationships with the service users and were very aware of different factors that may affect or cause anxiety. For example, pain, noise, or feeling unwell. The care plans gave good details of how they minimise these, so that the service users feel safe. A staff member said, "At Laneside we support the ladies well, maintain their dignity at all times within their home and outside in the community." Likewise a relative said, "The staff support all the clients, with the same respect they would expect for themselves. They treat each client as an individual, offering a personalised service." On the day of the site visit the service users were out with the staff. The service users can choose how to spend their day and the staff provide the necessary care and support when away from the home. Service users are encouraged to be independent. This was confirmed by a relative who said, "They enable the clients to maintain the maximum possible level of independence, choice and control." The staff arrange holidays for them and trips out to places of interest. A staff member described the plans for a forthcoming holiday and also a musical concert which the service user wants to attend. The evening meal was being prepared for the service users and `home made` soup was on the menu. The staff have their meals with the service users, as meal times are seen as a sociable occasion for everyone to get together. What the care home could do better: When completing a review of the service users` care documents the staff should record a summary of care given. This will help to provide a more detailed record of the care and support given over a set period of time. To help ensure staff are competent to give out medicines there should be record of how this check is carried out. This assessment helps to evidence their skills and knowledge to give out medicines safely to the service users. Random inspection report Care homes for adults (18-65 years) Name: Address: Laneside Sandbrook Road Ainsdale Southport Merseyside PR8 3RG three star excellent service 21/06/2007 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Claire Lee Date: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Laneside Sandbrook Road Ainsdale Southport Merseyside PR8 3RG 01704570134 Telephone number: Fax number: Email address: Provider web address: www.c-i-c.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Catharine Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Community Integrated Care care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection Brief description of the care home Laneside provides support and accommodation for four adults who have a learning disability. The home is adapted to meet the needs of people with a physical disability. Community Integrated Care CIC run the home. They are a voluntary organisation who provide services for people with a variety of support needs. Staff are available twenty four hours a day to provide care and support to people living at the home. The current Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home weekly fee rate for accommodation is 1012.33 pounds. This is based on the assessed needs of the service users. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The random inspection for Laneside was conducted with the homes manager on 12th May 2010 and it lasted approximately four and half hours. The purpose of the inspection was to undertake a review of the service. Laneside was rated by us as excellent at the last inspection on 21st June 2007. People accommodated at the home like to be called service users and this term is used in this report as a mark of respect to them. We undertook a site visit as part of the inspection which focused on two outcome areas. These were Personal and Healthcare Support and Concerns, Complaints and Protection. During the visit two of the service users care files were case tracked (their care files were examined to help ensure staff were providing the care and support they needed). We spent time with the staff and service users to gain insight as to what is is like to work and live at the home. An annual quality assurance assessment (AQAA) was sent to us by the service. The AQAA is a self assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we get information from providers about how they are meeting outcomes for people using the service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. We have included some of the information from the AQAA in this report and also a number of comments received from the service users and staff at the time of our visit. Information was missing in respect of contracts details for equipment and services, for example a current date for the gas and electric supply to the home and testing of fire detection equipment. We followed this up at the time of the site visit and the required dates were given to us. This helps to ensure services and equipment to the home are working safely to help protect people. The home provides accommodation for four service users. The service users have lived at the home for a long period of time and there have been no new admissions since our last key inspection in June 2007. Outcome Area - Personal and Healthcare Support The AQAA confirmed that policies and procedures are in place in respect of care planning, respecting the residents values of privacy, dignity, choice and fulfillment and independence. To evidence how this is achieved we looked at two service users care files. The service users have two care files, one of the files includes essential life style plans. The plans tell us how a person wants to live and how the staff can make this happen. It included details such as, things you need to know about me, things that are important to me, relationships and social interests. This helps to develop the care from the service users perspective. Work is currently being undertaken to provide these plans on a computerised disc. The manager advised us that one has been completed and the service user has actively been involved in its making. The care plans we looked at gave good detail about the service users individual care and social needs. Staff had sufficient information to enable them to provide care and support Care Homes for Adults (18-65 years) Page 4 of 10 according to the service users individual need, their wish and preference. Supporting documents also included details about the service users strengths and weaknesses, which help with assessing risks. We saw risk assessments in respect of care or daily tasks and details of how the staff manage them and minimise the risk to the individual. For example, assessing mobility, diet, the environment and medical conditions that affect their health. Daily evaluation records had been completed by the staff to show the care and support given each day or any change to the care provision. There was good evidence of contact with outside health care professionals either in the home or externally. District nurses and community staff visit the service users to provide support and advice as part of monitoring their health and well being. When the service users need tests or medical treatment the staff work closely with external health care professionals to ensure the service users are fully supported and comfortable with this intervention. We saw evidence of specialist care plans to help the service users at what can be an emotional and worrying time for them. Service users care documents had been reviewed by the staff each month. However, this showed a date and staff signature only. There was no evidence of how the review took place. The AQAA gave examples of the staff respect information in respect of equality and diversity, so that peoples needs are respected by the staff. The care files showed evidence of this in respect of the choices the service users make each day. For example, social arrangements, including holidays, choice of music, clothes and hairdresser. Likewise a service users room has been decorated to support her culture. We looked at the medicine policy and procedure and discussed with the manager how medicines are managed. We were told that all staff receive medicine training and we were shown computerised records of this. The staffs skills and knowledge to give out medicines safety had been checked, however there was no record to show us how this had been carried out. We looked at number of medicine charts and there were good recording systems in place to show us that the residents had received their medicines correctly. This included their receipt into the building, storage and disposal. A staff member gave a good account of how medicines are ordered each month and also returned when needed. Reviews had taken place to help ensure the medicines were being given safely to people. We saw plenty of equipment to support the service users with their independence. This included bath aids. The staff have had up to date training in how to use this equipment and to help transfer people safely to help protect them. A requirement for up to date moving and handling training was given at the last inspection in June 2007. This requirement has been met. Outcome Area - Complaints and Protection The AQAA reported, we have a clear complaints policy/procedure, which is given to clients (residents) prior to admission. We looked at these documents and also the complaint log. This showed complaints received, their subsequent investigation and outcome. These was sufficient information recorded to evidence this. The AQAA told us that no complaints had been received. We saw a complaint form that would be completed Care Homes for Adults (18-65 years) Page 5 of 10 should a complaint be made. A copy of the local authoritys safeguarding adults procedures was in place together with an abuse policy and whistle blowing statement. We saw evidence of staff attending safeguarding alerts training. This and the policies help to ensure the ongoing protection of people at the home. The home has not made any safeguarding referrals. We saw information about the Deprivation of Liberty Safeguards, which have been introduced under the Mental Capacity Act 2005. These are to help protect people who cannot make their own decisions about their care home or treatment, because they do not have the capacity to do so. The manager has not been required to make any referrals using these safeguards. The staff have not received any training as yet, however the manager is going to arrange training sessions so they fully understand how it should be documented through the assessment process. We saw evidence of financial records held on behalf of the service users. This included details for charges for use of the homes vehicles. The records seen help to protect the service users financial interests. A requirement was made at the last key inspection in June 2007 to have information about how service users money is managed. This requirement has been met. What the care home does well: What they could do better: Care Homes for Adults (18-65 years) Page 6 of 10 When completing a review of the service users care documents the staff should record a summary of care given. This will help to provide a more detailed record of the care and support given over a set period of time. To help ensure staff are competent to give out medicines there should be record of how this check is carried out. This assessment helps to evidence their skills and knowledge to give out medicines safely to the service users. 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 set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 When completing a review of the service users care documents the staff should record a summary of care given. This will help to provide a more detailed record of the care and support given over a set period of time. To help ensure staff are competent to give out medicines there should be record of how this check is carried out. This assesssment helps to evidence their skills and knowledge to give out medicines safely to the service users. 2 20 Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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