Care Home: Lombardy Park

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well The home provides residents with opportunities to develop full and active lives and to achieve their own ambitions. Life at the home starts with a good preadmission assessment and an opportunity to visit and meet other residents before a place is accepted, so the home knows that it will be able to meet their needs before offering a place to them. The home offers accommodation in a number of units and residents are placed within the home to meet their needs, but are able to move freely between the units. A good range of community resources are use in the residents care plan and there are also opportunities for residents who do not use day care both within the home and on regular outings to enjoy a good quality of life. They are encouraged to contribute to the home to the extent that they can, from participation in daily chores to involvement in interviewing new staff. The healthcare and protection of residents is very good. The environment meets all set standards and is comfortable and clean. Staffing levels, recruitment and training are all satisfactory. What has improved since the last inspection? Only one requirement and one recommendation were made at the last inspection, and these were both found to have been met on this occasion. One bed, which the resident had brought with them into the home, was not best suited for the resident or for staff giving personal care. This had been changed. The home had also acquired a copy of the revised local procedure for safeguarding adults. Since the last inspection, a well equipped log cabin known as Alpine lodge has been built in the grounds as a communal place for meetings and group activities. What the care home could do better: Full details of costs of the service and arrangements for payment must be included in the Service User Guide. The regular Regulation 26 visits and reports undertaken by the owners` representative must evidence that they have inspected any complaints received by the home, to ensure that this is being overseen. Whilst medication administration is generally of a very good standard, any alterations made to medicine administration records must be signed and dated. CARE HOME ADULTS 18-65 Lombardy Park 5 Monmouth Close Ipswich Suffolk IP2 8RS Lead Inspector Mary Jeffries Unannounced Inspection 5th September 2008 3:00 Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lombardy Park Address 5 Monmouth Close Ipswich Suffolk IP2 8RS 01473 686445 01473 686446 lombardypark@schealthcare.co.uk www.schealthcare.co.uk Active Care Partnerships Ltd 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) Tony Richards Howland Care Home 28 Category(ies) of Learning disability (28), Learning disability over registration, with number 65 years of age (2) of places Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2006 Brief Description of the Service: Lombardy Park is registered to provide accommodation and person care to 28 adults with learning disabilities. Two service users may be over 65 years of age. The home is owned by Active Care Partnerships Ltd. They are a subsidiary of Southern Cross Health Care Services Ltd. The home is situated in the Maidenhall area of Ipswich. It is approached through a largely residential estate with some communal facilities, including a park, sports facilities including a small supermarket, fish and chip shop and pub. The home is within sight of the Orwell Bridge from the rear of the property. Accommodation at the home is all single storey and had a linked bungalow designed. There are four five-bedded lodges, one four-bedded lodge and two, two-bedded units. All the residents had single en-suite bedrooms and each lodge had its own communal spaces. There is a central office and administration area. Fees for this home range from £524 to £2077 per week. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was a key inspection, which focused on the core standards relating to care homes for younger adults. The inspection was unannounced on a weekday afternoon and early evening, and lasted six hours. This report has been written using accumulated evidence gathered before and during the inspection, including information obtained from the Annual Quality Assurance Assessment (AQAA). The AQAA is issued by the Commission for Social Care Inspection (CSCI) and returned completed by the manager. This self-assessment gives providers the opportunity to inform the CSCI about their service and how well they are performing. We (CSCI) also assessed the outcomes for the people living at the home against the Key Lines of Regulatory Assessment (KLORA). Surveys were received in March this year from 4 relatives, and 2 staff ‘Have Your Say’ surveys and 8 residents. These findings are also included. On the day of the inspection a tour of the premises was made and a number of records were inspected, relating to people using the service, staff, training, the duty roster, medication and health and safety. Three residents, included one who had been recently admitted were tracked. They each lived on a different unit, and each of them was visited in their own part of the home. A fourth lodge was also visited and residents were spoken with in a group. The manager of the home was available during this inspection and fully contributed to the inspection process. The deputy manager and members of staff contributed. What the service does well: The home provides residents with opportunities to develop full and active lives and to achieve their own ambitions. Life at the home starts with a good preadmission assessment and an opportunity to visit and meet other residents before a place is accepted, so the home knows that it will be able to meet their needs before offering a place to them. The home offers accommodation in a number of units and residents are placed within the home to meet their needs, but are able to move freely between the units. A good range of community resources are use in the residents care plan Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 6 and there are also opportunities for residents who do not use day care both within the home and on regular outings to enjoy a good quality of life. They are encouraged to contribute to the home to the extent that they can, from participation in daily chores to involvement in interviewing new staff. The healthcare and protection of residents is very good. The environment meets all set standards and is comfortable and clean. Staffing levels, recruitment and training are all satisfactory. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 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 Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, &4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to have their needs and aspirations assessed, be able to ‘test drive’ the home, be provided with current information, so they can be confident that the home can meet their needs before they make a decision to move in. EVIDENCE: The Statement of Purpose and Service Users Guide were available to examine. These were clear documents, however the Service User Guide did not contain full details of charges as is required by regulation. Care records for three residents were examined in detail. Pre admission assessments had been undertaken for prospective residents, and full needs assessments were available on file for staff to read if required. These had gone on to be developed into care plans. A group of residents including a recently admitted resident were spoken with. They explained that the newer resident had visited several times before moving in. The established residents were looking forward to them coming by the time they moved in. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the plans of care maintained at the home reflect and address the individual and changing needs and aspirations of the person concerned. EVIDENCE: There was a care plan in place for all residents and these were regularly reviewed. The care plans were of sufficient detail to give staff adequate information about the levels of support individuals needed. The care plans had been developed from the assessments made on individuals. This included risk assessments that were both generic and had individual elements that promoted independence and freedom where possible. The daily statements made by staff were of good quality and stated what support had been given to enable the residents to maintain as much independence as was possible and how individual choices had been respected throughout their day. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 10 Staff were observed to interact with residents in a respectful way encouraging them to participate in tasks around their own home. Information about residents is handled in confidence and in a sensitive manner. Staff spoke with residents and encouraged them to speak for himself or herself and in private. Staff spoken to demonstrated a good knowledge of assessments and care needs. Residents spoken with were aware of their care plans and what they stated and how these were developed. The complaints book contained one in respect of a staff member being abrupt that that been thoroughly and properly responded to by the home, this is an indication that the home has high expectations of staff conduct. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home enables residents to maintain appropriate lifestyle with individual opportunities and support, and to set and achieve their own aspirations. EVIDENCE: Evidence from care plans, daily statements and from talking to staff and residents confirmed that the opportunities to socialise and participate within the local community were many and quite individual. Each resident had an individual plan of day services, college, clubs and groups that had been created from differing contacts. Advocates were encouraged. Care plans have scope for residents to identify any goals or ambitions they have. One resident tracked attended the local Genesis and Gateway clubs, and had had been assisted to obtain opportunities in the community to peruse their main interest. They were fully aware of their care plan and what it contained, and advised they felt it was a good plan for them. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 12 Another resident tracked had a varied daily programme, which was set out in their care plan. This included two days at a recycling project, one day at an adult day centre, one day on a gardening project and one day off during the week. On their day off this week, which happened to be the day of the inspection, they had been to town with a carer. The surveys from people living in the home tell us that they are happy there. They are particularly pleased with the way staff treat and support them and the activities available at a weekend. Another resident said ‘I can do what I want to do, unless I want to go out in the evening – then there has to be a driver on duty’. The home has one van and a people carrier. Staff on Yew advised that they had taken residents who do not attend a day service or project on a Thursday to Felixstowe the previous day. One of the relatives surveyed commented, “The home is the best thing that has happened for (…….)”. A range of different holidays had been arranged for residents during the summer vacations. A number of residents had just returned from Euro Disney, some had been to a local holiday park, at least one resident had enjoyed an individual holiday. Care plans and staff demonstrated that residents were able to see family and friends of their own choosing, in private if desired. Four of the five relatives who responded to our survey indicated that the home always helps the resident keep in touch with them, one thought it usually does. Similarly, four of the five relatives who responded to our survey indicated that the home always keeps them informed of important matters affecting their friend or relative, one thought it usually does. The home has a knock and wait policy instructing staff to respect the privacy of residents at all times. This was observed on the day. Each of the care plans examined by the inspector contained a section dedicated to expressing sexuality and developing relationships. Staff spoken to were aware of individuals preferences regarding this aspect. A resident spoken with advised that they were meeting their girl friend later that week. Staff advised that some residents regularly or occasionally visit other units and spend time with friends on those, for a cup of tea or for the evening. One resident who uses assistive technology to speak, advised us “ I am very happy here.” A carer spoken with advised that they had just enrolled for a course on healthy eating at Otley College. Mealtime in each Lodge was different. Staff were observed having their evening meal with residents on Yew. They advised that they draw up a four week menu together, and that an alternative is always available. The meal on this occasion was sweet and sour pork. One resident had waffles, rather than potatoes. Another resident came in after the others Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 13 had eaten their meal, having been out they were asked what they would like to eat and chose a fried egg sandwich. Baskets of fruit were seen in lounges. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home offers appropriate personal and health care support. EVIDENCE: All five relatives who returned surveys to us indicated that the home always or usually meets the needs of their friend or relative. One of the relatives surveyed commented, “1 am very pleased at how well the home meets the needs of my (relative).” The care plan of a recently admitted resident included a health action plan, which had been developed with the input of a community nurse. Care plans included details of appointments with doctors, chiropodists and dentists, dieticians district nurse and occupational therapy. Since the last inspection the home has arranged for a chiropodist to visit on a six weekly basis, as the twelve weekly visits undertaken by the NHS practitioner were not considered adequate. There was a specific form available to be completed upon any resident being admitted to hospital. This form ensured that the appropriate Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 15 level of information would be sent to enable them to be cared for more effectively. The home was working towards one resident self medicating, and states in the AQAA that it aims to develop this. The administration of teatime medications was observed on Yew. Two carers were involved in all stages of this procedure; they advised this was always how it was done. The staff employed a careful professional and friendly manner whilst undertaking this routine, and followed proper procedures. Records contained a photograph of each resident and protocols for giving medicines that are prescribed on an “as required” basis. The records for medication on this unit were inspected and found to be complete apart from one omission. In some instances a new medicine had been prescribed since the Medicine Administration record (MAR) sheet was issued. These had been written onto the MAR sheet, but the entry had not been signed and dated by the person doing so, this is necessary to safeguard against illicit entries. One of the new medications entered was checked against the care plan and was seen to be supported by a record. These staff advised that management do a regular weekly audit of medication. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home has appropriate procedures in place to deal with complaints and residents are protected from abuse and neglect as far as is possible. EVIDENCE: The home has a complaints procedure in place and this is displayed for visitors to see. They were working developing a pictorial complaints procedure for residents. The home had received six complaints in the last 18 months since the last key inspection. There were records of these in the home and they had been properly dealt with. The two staff surveys returned to us both indicated that these staff know what to do if a resident, relative or friend has concerns about the service. Four of he five relatives who completed a survey knew how to make a complaint should they need to, one did not. One of the relatives surveyed commented, “We could not ask for more. We have had one or two minor complaints but they are always dealt with quickly and with good grace.” The manager was able to demonstrate a good understanding of dealing with issues of concern, complaints, and a full understanding of Safeguarding, including agreed local reporting arrangements. They had appropriately made a referral to Safeguarding during the year; they were advised to investigate themselves and had done so fully. All staff had received training in Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 17 Safeguarding Adults, the majority within the 2008, and those spoken with had a good understanding of the issue. At the last inspection, the home was advised that they should have a copy of the revised local procedure for referral of protection of vulnerable adults matters, an agreed procedure with social service and the local police. This was available at the home on this occasion. With regard to staff recruitment there was evidence that enhanced criminal record bureau checks were in place and POVA first checks were made before staff started work at the home. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29, & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home is comfortable, well maintained and meets the needs of the existing resident group. EVIDENCE: This home was purpose built and at the time of registration it conformed to all national minimum standards. This is still the case and the home is well maintained and decoration is good throughout the home. There is a rolling program of decoration. Since the last inspection, a log cabin known as Alpine Lodge has been built in the grounds as a communal place for meetings and group activities; it is equipped with computers, arts and craft materials television, DVD, play stations and a pool table. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 19 All communal areas are comfortable and clean and have personal touches that make it homely. Three bedrooms on Yew were seen. Each bedroom seen was truly a reflection of the person who resided there. One resident had disco equipment, sky TV CD player and a karaoke, which reflected personal interests that they were involved in. One had a sitting area that included a settee and one was very feminine and pretty. The grounds are well maintained by a gardener and there was ample parking for visitors and the homes transportation. For residents with a physical disability there were overhead tracking devices to enable comfortable transfers to wheelchairs from bed and in bathrooms for bathing. Specialist equipment for physical disabilities was seen in place including wheelchairs with moulds and beds. At the last inspection it was noted that the bed of one resident, which had come with them into the home, was not ideal for their needs or for ease of use by staff. This had been replaced. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that staff are well recruited and adequately trained to meet the needs of the residents, and will employed in sufficient numbers to maintain their health and safety and basic needs. EVIDENCE: The home currently had 28 residents accommodated in the five Lodges and two Cottages. Each Lodge had a separate staff team with a Team Leader in place. As the residents in one Lodge and the cottages were more able and independent staffing levels were not as high as the Lodges. Care staff are employed in sufficient numbers to meet residents basic needs at all times, however the homes staffing records and staff accounts indicated that there have been times when units have not met their full compliment of staff. One unit which does not have people who require assistance with moving and handling at times of pressure lends staff to other units, which can detract from the quality of attention and interaction residents can have at those times. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 21 The staffing rosters for the home were examined and discussed with the manager. Roters were examined in detail as two comment cards from relatives/visitors questioned if there were sufficient staff on duty. The manager advised that the home currently has two vacancies equivalent to 1.66 staff posts, and that they are covering shifts by current staff picking up additional shifts where necessary. One relative, only, was not happy with the level of care. They were spoken with and advised that whilst the residents were all happy and cheerful, they were not sure they were doing enough, however this resident did not stay at the home at weekends when another resident noted that their were most things to do. Another relative noted that in an ideal word they would wish for more outings, and that staffing levels may occasionally be a constraint, but that the will is always there.” A member of staff advised that they thought the pressures were gradually increasing because the level of need of the residents admitted were increasing. They advised that this there was sometimes a concern if a member of staff calls in sick, as they had not been able to use agencies recently to provide cover unless it was an emergency. The manager confirmed information stated on the AQAA, that they aim to build up bank staff for the home. Staff on Yew advised that none of the residents on that unit required assistance with moving, so they had to be a bit flexible at times, in providing cover for other units, so sometimes there is just one carer on Yew for a period. They advised that this had happened the previous evening when there had been 1 not 2 as scheduled staff on Oak, and 2 not 3 as scheduled on Elm. They explained that they had mainly assisted on Oak, and that Elm had been manageable as there was one resident away. Two staff absences on the afternoon of the inspection also had been covered. The manager confirmed this was the case. The roter showed that the home was due to be one member of staff down on one shift of each of the next two days. The two staff surveys returned to us both indicated that the employer undertook checks, such as Criminal Records Bureau checks and references before they started work. Two staff files were inspected and they contained all of the appropriate documentation. A member of staff advised that two residents had been involved on their interview process, had shown them round the home and met afterwards to give input to the selection panel. The two staff surveys returned to us both indicated that these they receive training that is relevant to their role, helps them understand the needs of residents and keeps them up to date with new ways of working. The manager advised that he and the deputy had applied for conflict resolution training. Both staff files inspected included details of a proper induction, and staff surveys indicated that this had taken place. The home had maintained a training matrix which showed that regular training and update training in fire safety, moving and handling, food hygiene and Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 22 Infection control health and safety and dealing with hazardous training was taking place and that all almost all staff were up to date with this. Two cares spoken with confirmed that they were updated in these areas and one spoken with who had NVQ level 2 advised that they had just done a level 2 in the administration of medicine. Another advised they had received one day on dementia care and had just requested that they do additional safeguarding training. One relative commented on their survey that the staff were “of high quality” and noted they make favourable comparisons with previous experiences they have had in other situations. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 42 & 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home is appropriately managed. EVIDENCE: The current manager was registered with us in December 2007. Tony Howland has over seventeen years experience of working in the residential care setting with people with a learning disability. He held the post of deputy manager at Lombardy for four years before becoming the manager in 2007. He has completed the NVQ3 in Care and a City and Guilds course in practical care, community care and management and basic and updated training in social care. He is completed his NVQ 4 in June 2008. He is planning to undertake a care services managers award. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 24 One member of staff noted on their survey that the manager spends time around the home, and will call on bungalows to “see how things are going, if there are any problems, and chat with clients.’ Residents currently have their own bank accounts. The manager advised that the owners are currently effecting a change so that a joint account, which is able to produce separate, accounts for residents and will attribute their interest is being set up. An interim system was in place, with residents transferring across to it. Full records of transactions were maintained and receipts were double signed. Paper records were being maintained at present and these tallied with transactions recorded, transactions seen were for reasonable and appropriate expenditures. The home had a record of Regulation 26 quality control reports undertaken by the provider. These did not comment on complaints, and must do, but otherwise showed a range of matters inspected by the provider on a regular basis. We noted that we had not received any regulation 37 reports that are required when there is a hospital admission, death or other significant event affecting resident’s welfare. Relevant records, including the accident/incident book, the complaints book and the register of hospital admissions were inspected in the home and the managers advice was confirmed, that there had not been any of these events in the last twelve months. Other monitoring systems in place include monthly auditing of care plans and monthly auditing of medication systems. The home’s registration certificate and certificate of public liability insurance were displayed in the home. The home has a fire risk assessment and an emergency evacuation plan with a risk assessment for each resident. Fire records, nurse calls and bleeps had been inspected by the provider in their Regulation 26 visit of July 2008. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 25 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 2 2 3 3 X 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 3 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 3 X 4 X X 4 2 Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA1 Regulation 5 Requirement Timescale for action 30/10/08 2. YA20 13(2) 3. YA43 26 The Service User Guide must Contain all of the information required by regulation including full details of charges as required by regulation. Any changes to medicine 15/10/08 administration records must be signed and dated to determine the person responsible for the change and safeguard against illicit entries. Regulation 26 visits and reports 30/11/08 must cover all of the areas required by regulation. 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 YA33 Good Practice Recommendations The manager should continue to closely the dependency needs of residents to ensure they are fully met by monitor staffing levels achieved. Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lombardy Park DS0000063430.V371242.R01.S.doc Version 5.2 Page 28 - 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!