Latest Inspection
This is the latest available inspection report for this service, carried out on 13th 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 Lehmann House.
What the care home does well The home`s management and providers undertook good quality assurance procedures and processes to ensure that the running of the home was regularly monitored and that the views of people who lived there were listened to and acted upon. The AQAA clearly identified that areas that they do well in and what they need to improve on. Staff were provided with a good training programme that enabled them to meet people`s individual needs. Staff were supported in their role and were provided with the opportunity to discuss the ways that they were working. The service user surveys that we received were positive and provided no areas of concern. Nine service user surveys said that they always received the care and support and the medical support that they needed and one said that they usually were. Nine surveys said that the home was always fresh and clean and one said that it usually was. Five surveys said that they always liked the meals at the home and five said that they usually did. The survey asked what the home did well and comments included `everything`, `makes sure that the person is comfortable in their room. If they do not like what is on the menu, they will give the person what they enjoy`, `(the manager) can be proud of all her staff`, `lovely staff` and `the quality of care in the home is of a good standard, the food is good, staff are friendly, made good relations with other residents, good activities, living quarters etc.` The staff survey asked what the home did well and comments included `meet the needs and requirements of all residents and their families as individuals`, `offers lots of choices to residents, has lots of outings for residents to participate in, treats residents as individuals, promotes independence in resident`s daily life, treats all residents with dignity and respect`, `training, care standards, diversity` and `the home gives a great standard of person centred care, giving residents choices, we are very good at activities and offer a wide variety of things to do`. A health professional; survey stated `excellent care staff, take time out to talk to residents including cleaning and maintenance staff, facility very clean and well looked after`. What the care home could do better: There were no areas for improvement identified at this inspection. Random inspection report
Care homes for older people
Name: Address: Lehmann House Lehmann House Church Terrace Wickham Market Suffolk IP13 0SG 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: Julie Small Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Lehmann House Lehmann House Church Terrace Wickham Market Suffolk IP13 0SG 01728746322 01728748212 Jennie.Rodger@socserv.suffolkcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jennifer Ann Rodger Type of registration: Number of places registered: Conditions of registration: Category(ies) : Suffolk County Council care home 38 Number of places (if applicable): Under 65 Over 65 0 1 2 dementia learning disability old age, not falling within any other category Conditions of registration: 38 0 0 The home may accommodate one service user with a Learning Disability, over the age of 65, as detailed in the correspondence dated 4th November 2003. The maximum number of service users who can be accommodated is: 38 The registered person may provide the following categories of service only: Care home only - PC to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old Age - Not falling in any other category - Code OP (2) Dementia - (DE) (38) Care Homes for Older People Page 2 of 10 Date of last inspection Brief description of the care home Lehmann House is owned by Suffolk County Council. The home is well established and located in the small market town of Wickham Market, within reach of local facilities including a GP surgery, church and shops. The home is a large building divided into four units, each of which has its own bathroom, toilets, lounge, dining and kitchenette facilities. In total the service caters for 38 people. There are a number of seating areas around the home as well as the lounges in each unit. The gardens are large, secure and accessed from several ground floor exits. There is also a day care facility on site that is not used every day and offers additional space for organised activities for residents. The fees range between £550 per week for respite customers and £709 per week for permanent customers and do not cover the cost of newspapers, hairdressing, chiropody and toiletries. Care Homes for Older People Page 3 of 10 What we found:
The unannounced random inspection was undertaken by Regulation Inspector Julie Small Thursday 13th May 2010 from 11:00 to 12:20. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was sent to the home and they returned it to us within the required timescales. Surveys were also sent to the home and ten service user, eleven staff and two health professional surveys were returned to us. During the inspection we looked at the homes quality assurance processes records, such as satisfaction questionnaires, staff training, staff supervision, Regulation 26 visit reports and complaints. This showed that the homes management and providers routinely monitored the running of the home and that the views of the people that lived there were listened to and acted upon. The AQAA told us that they had received no formal complaints in the last twelve months and stated complaints procedure given to every resident or family when they come to Lehmann House. We viewed the homes complaints, concerns and compliments book and it was noted that concerns were listened to and acted upon promptly. The book also contained several compliments about the care and support that had been provided to the people that lived in the home. Ten service user surveys said that they knew who to speak with informally if they were not happy and how to make a formal complaint. Two health professional surveys said that concerns were always responded to appropriately. Eleven staff surveys said that they knew what to do if a person had concerns about the home. The AQAA told us that they had made two safeguarding alerts in the last twelve months, for which the homes manager had informed us of. The AQAA explained how they had made improvements following previous reports of missing money. A staff member was spoken with and they told us that there had been improved safety measures undertaken, which included more detailed risk assessments, which were viewed, reduced finances that were kept in the home and the provision of facilities for people to securely store their valuables. This showed that actions were taken to ensure that peoples finances were appropriately safeguarded. Actions were taken by the homes staff to ensure that incidents were appropriately acted upon and reported and that measures were in place to ensure that people were safeguarded. A staff member told us about a recent incident that had happened during an outing. They confirmed that they had formally notified us of the incident and they showed us the risk assessments that had been updated to ensure that people were safeguarded when they participated in activities outside of the home. Staff training records that were viewed showed that staff were provided with safeguarding training. A staff member confirmed that they had been provided with the training and they confirmed that they were aware of the actions to take if they had
Care Homes for Older People Page 4 of 10 concerns about the safety of the people that lived in the home. A staff training matrix that was viewed showed that staff that worked at the home had been provided with the training that they needed to meet peoples needs, such as dementia, manual handling, care planning, Mental Capacity Act and Deprivation of Liberty. Two staff members that were spoken with told us that the training provision was good and that regular refresher training was also provided to ensure that their knowledge was kept up to date. Eleven staff surveys said that they were provided with training that kept them up to date with new ways of working, that gave them enough knowledge about health care and medication, that helped them to meet peoples individual needs and that was relevant to their role. The AQAA stated training achieved in house for staff is fire training, food and hygiene and refresher, first aid, refresher manual handling, medication training, death and dying, dementia, vulnerable adults safeguarding e learning training, Mental Capacity e learning and Deprivation of Liberty training. Staff were provided with the support that they needed to meet peoples needs and the opportunity to discuss the ways that they were working in regular supervision meetings and staff meetings. A staff member was spoken with and they told us that they felt that they were supported in their role and they showed us a supervision matrix, which identified the supervision meetings that had been undertaken with each staff member. The minutes from staff meetings were viewed, which included senior staff meetings, staff meetings for each unit and night staff meetings. It was noted that they discussed the ways that people were supported, changes in peoples needs and preferences and the requirements of their job role. The staff survey asked if their manager met with them to give them support and discuss how they were working, nine answered regularly, one answered often and one did not answer. A staff member told us that staff were also provided with on the job supervision and they showed us the records that confirmed this. These included random spot checks, discussions and advice provided to staff that worked at the home in areas such as their approach to people, safe handling of medication and the homes dress code. People that lived at the home were provided with the opportunity to express their views about the service that they were provided with in the twice yearly satisfaction questionnaires, residents meetings and during Regulation 26 visit reports. The results from the recent satisfaction questionnaires were viewed that were displayed on a notice board in the entrance hall to the home. The questionnaires were undertaken January 2010 and they included comments from people who lived in the home and visitors to the home. The results from the questionnaires identified what the home did well and how they could improve. The minutes from residents meetings were viewed and it was noted that people were kept up to date with what was happening in the home and they were provided with the opportunity to comment on and make choices about the meals and activities that were
Care Homes for Older People Page 5 of 10 provided. Audits on the homes procedures were regularly undertaken to ensure that peoples needs were appropriately met and that they were safeguarded. A sample of the audits were viewed, which included medication, care plans and manual handling practice and risk assessments. The AQAA stated as a team we develop a business plan each year aiming to improve the service even if in small bits and we always achieve our aims. Management are well trained, motivated and enthusiastic to move forward with change to improve quality of life to residents. A staff member showed us a relaxation and sensory room that had recently been developed for the use of the people who lived at the home. The room included comfortable seating, lighting, music and several items that people could handle and look at, such as shells and leaves. What the care home does well:
The homes management and providers undertook good quality assurance procedures and processes to ensure that the running of the home was regularly monitored and that the views of people who lived there were listened to and acted upon. The AQAA clearly identified that areas that they do well in and what they need to improve on. Staff were provided with a good training programme that enabled them to meet peoples individual needs. Staff were supported in their role and were provided with the opportunity to discuss the ways that they were working. The service user surveys that we received were positive and provided no areas of concern. Nine service user surveys said that they always received the care and support and the medical support that they needed and one said that they usually were. Nine surveys said that the home was always fresh and clean and one said that it usually was. Five surveys said that they always liked the meals at the home and five said that they usually did. The survey asked what the home did well and comments included everything, makes sure that the person is comfortable in their room. If they do not like what is on the menu, they will give the person what they enjoy, (the manager) can be proud of all her staff, lovely staff and the quality of care in the home is of a good standard, the food is good, staff are friendly, made good relations with other residents, good activities, living quarters etc. The staff survey asked what the home did well and comments included meet the needs and requirements of all residents and their families as individuals, offers lots of choices to residents, has lots of outings for residents to participate in, treats residents as individuals, promotes independence in residents daily life, treats all residents with dignity and respect, training, care standards, diversity and the home gives a great standard of person centred care, giving residents choices, we are very good at activities and offer a wide variety of things to do. A health professional; survey stated excellent care staff, take time out to talk to residents including cleaning and maintenance staff, facility very clean and well looked after.
Care Homes for Older People Page 6 of 10 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 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 Older People 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 Care Homes for Older People 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 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 10 of 10 - 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!
