Care Home: Lenthall House

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Annual service review Name of Service: Lenthall House The quality rating for this care home is: The rating was made on: two star good service 2 7 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Fiona Stephenson Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Lenthall Square Market Harborough Leicestershire LE16 9LQ 01858463204 01858463204 Karen.Winder@leics.gov.uk www.leicestershire.gov.uk Leicestershire County Council Social Services Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Ms Karen Winder Conditions of registration: Category(ies) : dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 8 4 8 0 8 4 20 4 4 40 10 4 Learning Disability over 65 years of age DE(E) 4 Learning Disability (LD) 4 No persons falling within the categories LD(E) or LD can be accommodated at Lenthall House when 4 persons who fall within these categories/combined categories are already residing at the home Lenthall House Care Home is registered to provide personal care to male and female service users who fall within the following categories :- Old age, not falling within any other category (OP) 40 Dementia over 65 years of age DE(E) 20 Dementia (DE) 8 Mental Disorder,excluding learning disability or dementia over 65 years of age MD(E) 4 Mental Disorder, excluding learning disability or dementia (MD) 8 No persons falling Annual Service Review Page 2 of 8 within the category MD(E) can be accommodated at Lenthall House when there are 4 persons who fall within the category residing at the home. No person falling within the category DE can be accommodated at Lenthall House when there are 8 persons within this category already residing at the home No person within any of the following categories SI, PD, DE, LD,or MD may be admitted unless they are aged 55 years of older No persons falling within the categories DE(E) or DE can be accommodated at Lenthall House when 20 persons who fall within these categories/combined categories are already residing at the home No persons falling within the category MD(E) or MD can be accommodated at Lenthall House when there are 8 persons who fall within these categories/combined categories are already residing at the home. No persons falling within the category PD(E) or PD can be accommodated at Lenthall House when there are 10 persons who fall within these categories/combined categories are already residing at the home. Physical disability over 65 years of age PD(E) 10 Physical disability (PD) 8 No persons falling within the category PD can be accommodated at Lenthall House when there are 8 persons who fall within the category residing at the home. Sensory Impairment over 65 years of age SI(E) 4 Sensory impairment (SI 4 No persons falling within the category SI(E) or SI can be accommodated at Lenthall House when there are 4 persons who fall within these categories/combined categories are already residing at the home. The maximum number of service users to be accommodated within Lenthall House is 40 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Lenthall House is a care home providing personal care and accommodation for up to forty older people, who may have associated conditions including dementia, mental disorder, learning disability, physical disability and sensory impairment. It has two places for respite care, and a further seven places within the specialist Evergreen Suite offering respite for those with a diagnosis of Dementia. The home is easily accessible by private or public transport. The forty single bedrooms are without en-suite facilities. The home has a large patio area with raised flower beds and a summerhouse that service users can access. Large pleasant gardens surround the home. Accommodation is provided over two floors with access between the floors being via 2 7 1 0 2 0 0 8 Annual Service Review Page 3 of 8 stairs or a passenger lift. Communal areas are provided on both floors of the home. Annual Service Review Page 4 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information we have received or asked for, since the last annual service review. This included: - The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment document that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Surveys returned to us by people who live at the home, staff who work for the service, and health and social care professionals involved in the care of people who live at Lenthall House - Information we have about how the service has managed complaints. - What the service has told us about things that have happened to people living in the home. These are called Regulation 37 notifications and are a legal requirement. - The previous key inspection and the results of any other visits we have made to the service in the last 12 months. - relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? The service sent us the AQAA when we asked for it. It was clear and gave us all the information we asked for. It told us of the improvements the service has made in the last 12 months. It told us that the service has improved aspects of the environment by refurbishing four toilets, and creating space within the toilet room to make it more easy for people using wheelchairs to maneuver in the space available. It told us, amongst other things, that as a result of feedback from residents, the times for breakfast, tea time, and supper time have changed. We were also told that new garden furniture has been bought, and new activities have also been bought to give all people living at Lenthall House the opportunity to engage in small and larger group activities. The AQAA told us that out of the 23 permanent care workers, 15 have achieved a National Vocational Qualification to level 2 or above, with the service hoping to achieve a 100 rate of staff having this qualification within the next 12 months. It also told us that staff have also received training to help them support people who have dementia, and have received training in areas such as Moving and Handling, Fire Awareness, Catheter Care, and the Mental Capacity Act. The AQAA informed us that the service has received one complaint. It was investigated, and the complaint was not upheld. We at the CQC have not received any complaints about the service. It also told us that the service now complies with the Annual Service Review Page 5 of 8 regulations governing the safe housing of controlled medication. We received six surveys back from people who live at Lenthall House, two of which were completed with support from family members. All people who responded said they were given enough information to help them decide whether Lenthall House was the right home for them. Three said they always get the care and support they need, with three saying they usually get the care and support they need. Four felt that staff always listened and acted up what they said, with two saying that staff usually act upon this. Five said they always get the medical care they need, with one saying they usually get needed medical care. Five said they always like the meals at the home, and four said the home was always fresh and clean with the others saying it is usually fresh and clean. Two people added extra comments when asked what the home does well. These were: I am very happy here, the staff are very kind and helpful they care for your needs We received ten replies from staff who work at Lenthall House. Most staff told us they were being given training that was relevant to their role, but three staff did not feel they were given enough knowledge about health care and medication. Seven staff felt they got regular support and meetings to discuss how they were working, with three feeling that they often got support. Seven staff felt there was usually enough staff to meet the individual needs of people who live at Lenthall House, but three felt there was only sometimes enough staff. Three felt the there was always enough support, experience and knowledge to meet the different needs of people who live at the home, with seven feeling there was usually this. Comments about what staff felt the service does well included: Communication with staff and management. Care for residents, making sure we meet all their needs good food regular bathing and showers makes residents feel that this is their home and try to meet all their needs It provides a pleasant, caring environment..it is a clean, well maintained house with caring staff. Staff thought the service could improve by: getting a new minibus to get residents out and about regulating visiting times so that residents are not disturbed when eating their meals having more staff at week-ends..as we appear always to be short on care, kitchen and domestic Annual Service Review Page 6 of 8 all care staff should be able to do NVQ 3 One health and social care professional completed the survey. They commented that the service provides a pleasant, caring environment for the residents. It is a clean,well-maintained house with caring staff. We looked at the Regulation 37 notifications sent to us by the service. As well as keeping us informed of what the service did in response to people for example, becoming ill, falling, or needing hospital treatment, the service also notified us of a medication error. We were satisfied that the service had acted quickly and effectively in response to this error. What are we going to do as a result of this annual service review? We are going to continue to monitor the service, and will carry out a key inspection as part of our monitoring process. We can inspect the service at any time if we have concerns about the quality of service being provided to people who live at Lenthall House care home. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. Annual Service Review 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. 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