Care Home: Lawwood

What the care home does well The managers and staff were keen to provide a good service for the people living at Lawwood. The service has been effectively developed to provide a greater emphasis on individual rehabilitation, promoting peoples` independence, skill development and confidence building. We received the following comments from staff on `what the home does well`. "Lawwood does everything they can to help service users and staff in any way they can" - "The home is very well run they take very good care of the clients and the clients needs, very clean and tidy home" - "Looks after the service users to make sure they have a good quality of life and are happy and safe" Systems and practices were in place to provide people with sensitive individual care and attention, in the way they preferred. Appropriate support was being given with health-care needs, medication and appointments. The home operates a `Key worker System` which links individual residents with a specific staff member, to provide a more personal service. Any complaints or concerns raised, were being taken seriously. People living at Lawwood felt safe and protected. What the care home could do better: To better protect people using the service, some clearer instructions were needed for managers and staff, to make sure they follow the correct procedures. Also, staff training on safeguarding people should be ongoing. Random inspection report Care homes for adults (18-65 years) Name: Address: Lawwood 87 Todmorden Road Burnley Lancashire BB11 3ES 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: Jeffrey Pearson Date: 0 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Lawwood 87 Todmorden Road Burnley Lancashire BB11 3ES 01282435832 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Amanda Balmer Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lawwood Ltd care home 11 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 11 The registered person may provide the following category/ies 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: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Lawwood is registered to provide personal care and accommodation for 11 adults over the age of 18 with a mental illness. Lawwood is a double fronted mid terraced property situated upon a busy road, in a residential area. The home is close to a number of local resources and community facilities. The accommodation available is of a very good Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home standard, homely and domestic in style, all bedrooms are single. There are two lounges and a separate dining room. Lawwood has facilities to support rehabilitation and independence living scills, including a fully fitted kitten. There is an enclosed courtyard area to the rear of the home. Staff are on duty to provided support 24 hours per day. People carrier type transport is available to enable service users to visit relatives, take short trips and outings within the community. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: An inspection which included an unannounced visit to the service was conducted at Lawwood on the 5 th May 2010. The purpose of the inspection was to assess outcomes for people in relation to Personal and Healthcare Support and Concerns, Complaints and Protection. People using the service were invited to complete surveys, to tell the Commission what they think about the support and care provided by the home, some were returned to us. Before the visit the manager was asked to complete and return to us an annual Quality Assurance Assessment (AQAA). This was to enable the service to show how they were performing and provided details about arrangements, practices and procedures at the home. The files and records of 2 people were examined as part of case tracking, this being a method of focusing upon a representative group of people using the service. We spoke with residents, the registered manager, owner, deputy manager and staff. Various documents, including policies, procedures and records were looked at. Parts of the home were viewed. The residents spoken with made positive comments about life in the home and indicated they were satisfied with the services and support provided at Lawwood. The home had policies and procedures in relation to health and personal care. A service user friendly version of the homes policies had also been produced, they were written in plain English with pictures to help make them more accessible to people. Reference was made to the care planning process, support with personal care, healthcare appointments and medication. The home operates a key worker system which links a resident with a particular staff member to provide a more personal service. Any guidance and support needed with personal care and hygiene, had been agreed as appropriate within individual care plans. People were being supported to take an interest in their appearance. Some beauty treatments such as, massage, facials and nail care were offered in-house, in a purpose built facility. The deputy manager explained, that the underpinning aim of this provision, was to help people to develop confidence skills to access services within the community. Records and discussion showed people were getting support with routine healthcare appointments and annual health checks. Enabling people to make and attend their own appointments was part of the rehabilitation process. People spoken with explained how they were being encouraged to keep healthy by attending the local gym and swimming pool. Mental ill health needs were appropriately included in the care planning process and people were having contact with Psychiatrists and Care Coordinators. The AQAA (Annual Quality Assurance Assessment) told us that all staff responsible for administering medication had received suitable training. Care Homes for Adults (18-65 years) Page 4 of 9 Lawwood where appropriate, supports people to manage their own medication, with peoples ability and support needs being individually assessed. One person spoken with, explained how they were working towards self administration. Ways of involving people with various aspects of their medication, were discussed with the manager. Medication storage was seen to be clean and secure. Medication policies and procedures were available. The medication administration records checked appeared to be in order, there were no gaps, entires were clear and legible. Individual protocols were drawn up in response to variable dose and when required medication. Records showed, GPs had agreed which over the counter remedies were suitable to take alongside prescribed items for each person. People using the service who completed surveys, told us they knew who to speak to if they are not happy at Lawwood, also that they were aware of how to make a formal complaint. If I had had a complaint I would go to management they would sort it out, was one comment made. Staff completing surveys said they knew what to do if someone had concerns about the home. The complaints procedure was incorporated in the homes service user guide and in the residents policy file. The procedure included clear instructions for people to follow and had the contact details of the Care Quality Commission. The AQAA described how the key worker system aimed to encourage good relationships, also confidence building in sharing any problems and worries. Complaints processes were discussed with the deputy manager, including being objective and ensuring appropriate investigation strategies are devised and accountable records kept, to show clearly how complaints have been managed. It was suggested the complaints form for people using the service be made more user friendly. People spoken with told us they felt safe living at Lawwood, one person said, I have no concerns about anything at the home. The AQAA showed that within the last 12 months staff had received challenging behaviour training, this should ensure staff are more effective in dealing with unpredictable situations which may arise. Policies and guidance were available in relation to physical intervention and restraint, also managing service users finances. We looked at the homes polices and procedures on safeguarding people from abuse, which included some good guidance on looking for potential signs and indicators. But, there were no clear step by step procedures for managers and staff to follow in the event of an allegation, suspicion or incident of abuse. This could result in lack of appropriate action being taken to safeguard people using the service. However, the deputy manager did express an awareness of the action to be taken and of the relevant agencies to contact. We were told some staff had gained a deeper understanding of safeguarding matters as part of their NVQ (National Vocational Qualifications) training, however, we advised all staff should receive appropriate training and regular updates on safeguarding people, the deputy manger agreed to pursue this matter. A staff whistle blowing (reporting bad practice) policy was available, this included some appropriate information and guidance, but did not include the contact details of agencies such as Social Services or the Care Quality Commission. The deputy manager agreed to update the policy and discuss it with the staff team. Care Homes for Adults (18-65 years) Page 5 of 9 What the care home does well: 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 Adults (18-65 years) Page 6 of 9 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 7 of 9 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 23 Action should be taken to ensure all safeguarding policies and procedures provide clear instructions for managers and staff to follow in line with agreed Local Authority protocols. Procedures should include all appropriate contact details of the relevant agencies, such as Social Services, the Police (Public Protection Unit) and CQC. Care Homes for Adults (18-65 years) Page 8 of 9 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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