Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Larchfield Manor.
What the care home does well People are properly assessed before moving into the home. People told me they had enough information about the home before they moved in. One person told me that family had visited and looked around the home and the manager visited her before she was admitted, to introduce herself and talk to her about the home and what to expect. The manager wrote in the AQAA `All residents have an in depth pre-admission daily living needs and mental capacity assessment done. This is done just prior to admission to ensure the home is able to meet the resident`s needs. Information is also gathered from other relevant sources (i.e. healthcare professionals, Social Services etc). The content of the care file is always discussed and agreed with the resident and any other relevant parties. Our aim is to maintain the lifestyle of each individual within their chosen environment. We believe that we work in their home - they do not live in ours.` We looked at two people`s Care plans . They were written in depth and explained what care and support was required by staff to meet the person`s needs. The manager told us in the AQAA ` The care plan is constantly updated with appropriate and relevant information and is reviewed as a matter of course once a month. Residents can have access to their records. Our care plans detail the who, how, what, why, where and when of each residents life and the ways in which we can help to make it everything they want it to be.` People said they enjoyed the food they were given and said that there was a good choice. One person said `the meals are great, I really enjoy my breakfast, I have it in my bedroom the staff ask me what I want and bring it for me`. The cook was knowledgeable about the dietary requirements of people. She told me that most of the ingredients used are locally sourced. The menu was varied and people were given a choice. Care and support is delivered by skilled competent staff. New staff are given an excellent induction into care, and on going staff training is of a very high standard. There are thorough recruitment and selection procedures in place, to make sure that staff are suitable and safe to work with the people who live at the home. There is a varied selection of activities offered to people who live at the home, the manager told us `Examples of our diverse programme include: themed dinner parties, cultural supper parties, tailored outings, staff productions including pantomimes, nativityplay, musical evenings, celebrations of calendar events of our country and others, birthday celebrations, presentations of staff training certificates with which the residents have helped, charity work, craft groups, computer classes, gents and ladies forums, remembrance service, luncheon and bridge clubs, quizzes, bingo, PAT dogs, arm chair yoga, keep fit, music appreciation, Poi, story bags, structured musical interaction sessions, reminiscence therapy, countdown, skittles, memory games, gardening club, Betty`s style afternoon teas, library, talking books, video club, quarterly magazine, house pets, cookery clubs, poetry reading etc, etc. Family and friends are invited and welcome to join in with us. We send out questionnaires to residents and their families to find out if our activities meet with their approval. The activities change to encompass the changing abilities, interests and backgrounds of our residents.` I saw a weekly plan of activities that is sent to every residents showing times, locations and details of activity. The same information was displayed on notice boards and is discussed between carers and residents in order to encourage participation. People know that they can complain, and that they will be listened to. One person said they would complain to the manager or any of the staff and would be confident that their concerns would be listened to and acted upon. Staff know their responsibilities in passing on any concerns which affect the safety and vulnerability of people. The manager listens to the views of those with an interest in the home. There are regular minuted relative and resident meetings. It was evident that the manager takes positive action to improve the quality of life of people who live at the home, often as a result of listening to what people who use the service have to say. What the care home could do better: This service continues to provide excellent outcomes for people who use it. The manager and staff team are always looking for opportunities to develop and enhance this already excellent service, to ensure a positive experience for people who live and work at the home Random inspection report
Care homes for older people
Name: Address: Larchfield Manor Leadhall Lane Harrogate North Yorkshire HG2 9NN three star excellent service 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: Bridgit Stockton Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Larchfield Manor Leadhall Lane Harrogate North Yorkshire HG2 9NN 01423871077 01423810317 caring@larchfieldmanor.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kathleen Brook Type of registration: Number of places registered: Conditions of registration: Category(ies) : Loyalmace Limited care home 47 Number of places (if applicable): Under 65 Over 65 47 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Larchfield Manor is run by Loyalmace Limited and is registered to provide a care service for 47 for older people age 65 years and over. The home is a large converted manor house standing in its own garden and situated close to shops and other community facilities. It is approximately one mile from Harrogate town centre. Accommodation is arranged over three floors and the upper floors are accessible by a vertical passenger lift. The home provides a comprehensive customer enquiry information file. Usually when prospective residents visit for a look around the manager or deputy manager goes
Care Homes for Older People Page 2 of 8 Brief description of the care home through the file answering any questions about the service offered at Larchfield Manor. Costs residents have to meet in addition to the fees include hairdressing, chiropody, toiletries, papers, telephone, taxis, escorts and dry cleaning. Care Homes for Older People Page 3 of 8 What we found:
This was an unannounced inspection of Larchfield Manor. The homes staff and the people living there did not know that we were going to visit on this day. During our visit we looked at a selection of records, looked round some parts of the building and talked to some of the people who live at the home and the staff who work there. Before our visit we looked at all of the information we had about the service and asked the home to complete an annual quality assurance assessment (AQAA). This is a selfassessment that tells us about the home. We also sent out surveys to people who live and work at the home. We used all of this information to plan our inspection visit and have included it in this report where appropriate. What the care home does well:
People are properly assessed before moving into the home. People told me they had enough information about the home before they moved in. One person told me that family had visited and looked around the home and the manager visited her before she was admitted, to introduce herself and talk to her about the home and what to expect. The manager wrote in the AQAA All residents have an in depth pre-admission daily living needs and mental capacity assessment done. This is done just prior to admission to ensure the home is able to meet the residents needs. Information is also gathered from other relevant sources (i.e. healthcare professionals, Social Services etc). The content of the care file is always discussed and agreed with the resident and any other relevant parties. Our aim is to maintain the lifestyle of each individual within their chosen environment. We believe that we work in their home - they do not live in ours. We looked at two peoples Care plans . They were written in depth and explained what care and support was required by staff to meet the persons needs. The manager told us in the AQAA The care plan is constantly updated with appropriate and relevant information and is reviewed as a matter of course once a month. Residents can have access to their records. Our care plans detail the who, how, what, why, where and when of each residents life and the ways in which we can help to make it everything they want it to be. People said they enjoyed the food they were given and said that there was a good choice. One person said the meals are great, I really enjoy my breakfast, I have it in my bedroom the staff ask me what I want and bring it for me. The cook was knowledgeable about the dietary requirements of people. She told me that most of the ingredients used are locally sourced. The menu was varied and people were given a choice. Care and support is delivered by skilled competent staff. New staff are given an excellent induction into care, and on going staff training is of a very high standard. There are thorough recruitment and selection procedures in place, to make sure that staff are suitable and safe to work with the people who live at the home. There is a varied selection of activities offered to people who live at the home, the manager told us Examples of our diverse programme include: themed dinner parties, cultural supper parties, tailored outings, staff productions including pantomimes, nativity
Care Homes for Older People Page 4 of 8 play, musical evenings, celebrations of calendar events of our country and others, birthday celebrations, presentations of staff training certificates with which the residents have helped, charity work, craft groups, computer classes, gents and ladies forums, remembrance service, luncheon and bridge clubs, quizzes, bingo, PAT dogs, arm chair yoga, keep fit, music appreciation, Poi, story bags, structured musical interaction sessions, reminiscence therapy, countdown, skittles, memory games, gardening club, Bettys style afternoon teas, library, talking books, video club, quarterly magazine, house pets, cookery clubs, poetry reading etc, etc. Family and friends are invited and welcome to join in with us. We send out questionnaires to residents and their families to find out if our activities meet with their approval. The activities change to encompass the changing abilities, interests and backgrounds of our residents. I saw a weekly plan of activities that is sent to every residents showing times, locations and details of activity. The same information was displayed on notice boards and is discussed between carers and residents in order to encourage participation. People know that they can complain, and that they will be listened to. One person said they would complain to the manager or any of the staff and would be confident that their concerns would be listened to and acted upon. Staff know their responsibilities in passing on any concerns which affect the safety and vulnerability of people. The manager listens to the views of those with an interest in the home. There are regular minuted relative and resident meetings. It was evident that the manager takes positive action to improve the quality of life of people who live at the home, often as a result of listening to what people who use the service have to say. 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 set out on page 2. Care Homes for Older People Page 5 of 8 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 Older People Page 6 of 8 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 Care Homes for Older People Page 7 of 8 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 Older People 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - 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!
