Latest Inspection
This is the latest available inspection report for this service, carried out on 26th 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 Linelands.
What the care home does well People are encouraged to be as independent as they can be while maintaining their safety. There is a stable staff team who interact with people in a positive way, being mindful of maintaining their independence, privacy and dignity. There is a robust recruitment system and a varied training programme which helps to equip staff with the skills and knowledge they need to provide a good standard of care and support. The home has a good system in place to enable people to express their views so that they are involved in decisions about how the home is run. The people we spoke to told us that they were happy staying at the home and that the staff supported them in the way that they preferred. What the care home could do better: No requirements or recommendations were made following this inspection. However there were three areas that would benefit from improvement. Care plans should provide staff with more information about peoples preferences so that they have a comprehensive picture of the the people they support and how they want their care delivering. The arrangement for the storage of medications for people who are self medicating should be reviewed to ensure that it is as safe as possible. The arrangements for meeting peoples social needs should be reviewed to make sure that sufficient time is dedicated to providing a varied activities programme that meets people`s individual peoples needs. This will help to ensure that appropriate stimulation is provided. Random inspection report
Care homes for older people
Name: Address: Linelands All Saints Lane Nettleham Lincoln Lincs. LN2 2NT 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: Dawn Podmore Date: 2 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Linelands All Saints Lane Nettleham Lincoln Lincs. LN2 2NT 01522750889 Telephone number: Fax number: Email address: Provider web address: lisa.clarke@lincolnshire.gov.uk www.lincolnshire.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Sheila Joan Sibbons Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lincolnshire County Council care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Linelands is a care home owned by Lincolnshire County Council. It is situated on the outskirts of the City of Lincoln in the village of Nettleham. The home is a two-storey property, which is a purposely built unit and is surrounded by gardens with ample parking to the front and the side of the home. There are local shops, churches, cafes and public houses within walking distance of the home. The home is split into six wings, five of which are used to provide care and accommodation for older people. Each wing has its own lounge, quiet room, bathroom
Care Homes for Older People Page 2 of 10 Brief description of the care home and two toilets. The first floor has three kitchen areas where drinks can be made. There are three dining areas in the home. Accommodation is provided in single rooms on the ground and first floors. There is a passenger lift, which enables service users to access the second floor. The home provides intermediate/rehabilitation care and short-term care for up to 27 people. A separate day centre, which is situated in the care home, did not form part of this inspection. At the time of the inspection fee rates ranged from £64.15 to £363.90, depending on peoples assessed needs. Information about these rates, as well as the everyday operation of the home, is available at the home. Care Homes for Older People Page 3 of 10 What we found:
This was an unannounced random inspection which included a visit to the home, this type of inspection is carried out to monitor how the home is operating. We also took into account information such as the last key inspection report, the outcome of annual service reviews and records of any incidents that we had been notified of since the last review. We took a partial tour of the building during which we spoke with some residents and staff. We looked at various documentation including, care records, risk assessments and staff records. We also assessed how people had been consulted about the running of the home and the quality of the service being provided. Prior to the visit we also sent out surveys to residents and staff to ask their opinion of how the home was operating, 6 people returned these and their opinions are included in this report. The manager was not available at the time of the visit but staff told us about any changes which have taken place. Choice of Home The home provides people with various information to tell them about how it intends to operate, this includes a Service Users Guide, which was available in each room. Care records showed that detailed assessments of peoples needs had been carried out prior to them coming to stay at the home to make sure that their needs could be met. People who come to live at the home usually need short term or intermediate care. The latter is to help them to rehabilitate so that they can return home. To this end various equipment, such as a modified kitchen with easy to access equipment, had been provided to enable them to practice everyday tasks. Additional support is provided by occupational and physiotherapists who visit the home on a regular basis to assess peoples abilities and needs. Individual Needs and Choices The care records we looked at outlined peoples main needs but did not tell staff about their personal preferences regarding how they would like their care and support provided. Potential risks had been assessed and minimising strategies identified to keep people safe, while allowing them be as independent as possible. Everyone we consulted said that they were happy with the way they were being supported and confirmed that they were involved in planning their daily routines. One person commented, it is my first time in one of these places, hopefully if needed in the future I would come back here again. People told us that their medical and health needs were being met and that they had access to outside agencies, such as doctors and nurses. One person said that they
Care Homes for Older People Page 4 of 10 developed bedsores prior to coming to the home but that they had now improved. People are encouraged to be responsible for their own medications and lockable facilities are provided to facilitate this. Although medications were being handled safely a discussion took place regarding the safe keeping of keys for people who are looking after their own medications. The report from a recent inspection by the local pharmacist showed that the systems in place were robust and worked well. Activities There is no dedicated activities person responsible for providing people with regular stimulation therefore this is part of the care staffs role. Although most people said that they were on the whole happy with the activities provided a member of staff said, it can be very difficult at times as our time is taken up with the rehabilitation work. One resident said its quiet here, I would like more to do, but I am happy here. People told us that the activities provided included the following, Who wants to be a millionaire, quizzes, games, bingo, scrabble, group chats, church services, Nintendo WII and charades. However records did not fully demonstrate that these had been arranged to meet peoples individual needs. The people we spoke to said that they mostly read, watched television and chattered. One person said that she was not aware of any organised activities taking place. People said that they enjoyed the meals at the home, which offered variety and choice. Their comments included, the food is very good, Ive put on weight since I came here and lovely meals. One person said that they felt that there was too much mince on the menu, but planned menus did not evidence that this was the case. Concerns Complaints and Protection The AQAA told us that the home had received 3 complaints over the last year, these had been appropriately recorded and addressed. People confirmed that they knew how to make a complaint and said that they would feel comfortable highlighting any areas of concern if they arose. The home uses the Lincolnshire County Council policies and procedures to help to keep people safe from abuse and tell staff about their role in reporting any concerns. Staff said that they had received training in this subject and were able to tell us about the actions they should take if they had any concerns. Environment People commented about the welcoming and friendly atmosphere at the home. The decor was varied and peoples rooms were personalised to meet their length of stay. People said that that they were also happy with the general facilities the home offered. One person commented, I am very happy its like a 4* hotel. There is a kitchenette for people to make drinks and a second one with more space was
Care Homes for Older People Page 5 of 10 being used as part of the rehabilitation work so that people could be assessed ready for moving back home. A separate smoking room had been fitted with an extractor fan to make sure that smoke did not drift out into the general environment Gardens were well maintained offering people a pleasant place to sit in fine weather. Staffing We looked at staff records and a new member of staff described how they had been recruited. This demonstrated that a robust system had been followed to make sure that staff were suitable to work with vulnerable people. Checks undertaken included obtaining written references and undertaking a criminal record bureau check (CRB) and a formal interview. Staff confirmed that they had been provided with a good induction to the home. One person told us that her induction had lasted a month and included getting to know about the homes policies and procedures and shadowing a senior carer throughout that time. She told us that she felt that the induction and recruitment she received was very good and said that that she had never experienced a place where you have everything you need. Staff had access to a varied training programme that included various training including food hygiene, safeguarding people from abuse, fire safety, wound management, first aid, the safe administration of medications and the Mental Capacity Act. The AQAA said that out of the 24 care staff employed 21 have attained an N.V.Q. (National Vocational Qualification) level 2 in care. Staff said that they felt well trained and supported. One person said, its a great place to work, overall staff are happy and positive throughout their working day. People told us that they received the support they needed and that staff were available when they required assistance. One person said, they (the staff) are brilliant. Others told us, I am very happy with the way I am treated, they do everything they can and more and there are enough staff to meet my needs. Conduct and Management of the Home People said that the home was well managed. When we asked them what the home did well their comments included, care, friendly staff, and everything. No one made any negative comments either on the day of the visit or in the returned surveys. One person did however comment that if there were more staff they would have more time to give individual attention. Staff also felt that the home was operating to a high standard and that they were well supported to do their jobs. When asked what the home did well they told us, treat people as individuals, catering for their needs, team work, training, provide a comprehensive
Care Homes for Older People Page 6 of 10 care package, communication and helps people to reach their full potential. When asked if there were any areas where improvements could be made most said no. Others commented, communication, especially from the county council, have an entertainment coordinator to assist with activities and give people more time. There is an effective quality assurance system in place to consult people about how the home is operating and check that policies and procedures are being followed. This includes regular questionnaires, meetings and audits of the building and working practices. 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 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!
