Care Home: Latham House

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What the care home does well Dormant What has improved since the last inspection? Dormant What the care home could do better: DormantLatham HouseDS0000060512.V378290.R01.S.docVersion 5.3 Key inspection report CARE HOME ADULTS 18-65 Latham House The Lane Wyboston Beds MK44 3AS Lead Inspector Mrs Louise Trainor Key Unannounced Inspection 4th November 2009 09:00 Latham House DS0000060512.V378290.R01.S.doc 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 home adults 18-65 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. Latham House DS0000060512.V378290.R01.S.doc Version 5.3 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 Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Latham House Address The Lane Wyboston Beds MK44 3AS 01480 470470 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) psouthgate@brookdalecare.co.uk na Brookdale Healthcare Limited Manager post vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Maximum number of service users: 12 Gender: Male and Female Ages: 18-65 Up to 12 Service Users with a Mental Disorder may be accommodated where this is associated with a Learning Disability. 27th November 2008 Date of last inspection Brief Description of the Service: Latham House is registered as a 12-bedded house and its exterior is in keeping with the rural neighbourhood. It is situated on the outskirts of the village of Wyboston, close to the market town of St. Neots. On arrival at these premises, we found the home to be dormant. Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection took place on the 4th of November 2009 at 09:00 hours. It was carried out by regulatory inspectors Mrs Louise Trainor and Mrs Sally Snelson. On arrival at the home at 09:00 hours we found it to be empty. We visited Cranwell Court, the sister home to Latham House, which is situated next door. We met with the Registered Manager at Cranwell Court Mrs Kate Houseago. She advised us that the nine residents from Latham House had been moved to ‘Manor Farm’, another of the Brookdale care homes, whilst Latham House is being refurbished. We spoke with Mr Matt Capener, the Head of Residential Care for Brookdale Healthcare, on the telephone, and he confirmed this to be the case. He advised us that the residents moved out of Latham House last week, and a notification letter is being sent to the Care Quality Commission detailing this information. At 09:30 hours we contacted Mr Andy Green, the link inspector for Manor Farm, which is in Cambridgeshire, to advise him of this information. Latham House will remain a dormant service until we are informed that it is operational again on completion of the refurbishments. Requirements that were issued at the last inspection on the 27th of November 2008 will remain outstanding until compliance is achieved. These will be addressed when operational status of the home is resumed. What the service does well: What has improved since the last inspection? What they could do better: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 6 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. Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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): This service was dormant on the date we wrote this report. means that it is not providing a service to people. This was due to temporary closure for refurbishment. EVIDENCE: Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 N/A 2 N/A 3 N/A 4 N/A 5 N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 N/A 23 N/A ENVIRONMENT Standard No Score 24 N/A 25 N/A 26 N/A 27 N/A 28 N/A 29 N/A 30 N/A STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score N/A N/A N/A N/A N/A LIFESTYLES Standard No Score 11 N/A 12 N/A 13 N/A 14 N/A 15 N/A 16 N/A 17 N/A PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Version 5.3 Page 17 Latham House DS0000060512.V378290.R01.S.doc Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA26 Regulation 23 (c) Requirement All bedrooms must have sufficient furnishings and fittings suitable to meet the individual lifestyles of the people. Previous timescale: 05/11/08 Not assessed as service dormant. 2. YA39 24 (1) (a) (b) Effective quality assurance systems must be implemented that seeks and monitors the views of the people using the service. Previous timescale 30/10/07 and 25/04/08. Not assessed as service dormant. 3. YA2 14 All people using the service must be subjected to a full and comprehensive assessment that encompasses the holistic needs of care to be implemented. Not assessed as service dormant. 4. YA6 15 All care plans must accurately DS0000060512.V378290.R01.S.doc Timescale for action 04/11/09 04/11/09 04/11/09 04/11/09 Page 18 Latham House Version 5.3 reflect the needs of people with clear interventions of care recorded. Not assessed as service dormant. 5. YA19 12 Arrangements must be made to ensure the health care needs of people are identified and procedures are in place to address them. Not assessed as service dormant. 6. YA30 23 Arrangements must be made to remove offensive odours from identified areas of the home. Previous timescale: 05/11/08 Not assessed as service dormant. 7. YA31 18 Arrangements must be made to ensure the staff rota encompasses the entire staff team on shift to include agency staff. Not assessed as service dormant. 8. YA34 19 Satisfactory clearances and proof 04/11/09 of identification must be obtained from all agencies before agency staff are exposed to people who use the service. Not assessed as service dormant. 9. YA35 18 The home must present evidence 04/11/09 to suggest all staff have satisfactory training to undertake their job roles. Not assessed as service Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 19 04/11/09 04/11/09 04/11/09 dormant. 10. YA42 13 Arrangements must be made to ensure all doors held open are in line with fire regulations and does not compromise the safety of people using the service. Not assessed as service dormant. 11. YA43 39(h) The registered person must inform CQC immediately when the premises resume occupancy of residents. 31/03/10 04/11/09 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 YA30 Good Practice Recommendations Arrangements should be made to employ a domestic staff to undertake the daily cleanliness of the home. 2. YA32 Arrangements should be made to ensure at least 50 of the staff team are trained in NVQ level 2 or equivalent. This could not be assessed on the site visit. Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 20 Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@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. Latham House DS0000060512.V378290.R01.S.doc Version 5.3 Page 21 - 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!