Care Home: Longcroft Cottage

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What the care home does well The service maintains good staff levels and supports people living in the home to follow individualized routines and activities based around their own preferences and needs. Staff are provided with good levels of support and people work well as team providing good quality care and support. The home is situated in a fairly isolated site which provides quiet and security and meets the needs of the people currently living in the home. What has improved since the last inspection? Improvements have been made to the layout of the home and work is ongoing to improve the environment with new windows being fitted and improvements to the garden area. Health action plans are being developed for all of the people living in the home. What the care home could do better: The service needs to ensure that all the ongoing maintenance and work to improve the environment is completed within a reasonable timescale. No other specific areas requiring improvement were identified during this inspection visit. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Longcroft Cottage Blaisdon Road Westbury-on-Severn Glos GL14 1LS     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Simon Massey     Date: 1 9 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Longcroft Cottage Blaisdon Road Westbury-on-Severn Glos GL14 1LS 01452760747 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Lynn Garside,Mr James Garside care home 3 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: Temporary Service User Category - SI for one named Service User This service user category will be removed from the Certificate of Registration when the named service user no longer resides at the home. Date of last inspection Brief description of the care home Longcroft Cottage is a registered care home for adults who have a learning disability. The home is an adapted detached house. The accommodation is on two floors. On the ground floor there is a kitchen dining area and lounge. On the first floor there are three single bedrooms and a bathroom/toilet. The home is set in extensive grounds, which are level and accessible. The home is owned by Mr and Mrs Garside Mrs L. Garside, one of the joint proprietors, is the registered manager of the home. The current fee range starts at #640 per week. Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 0 3 1 Brief description of the care home Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was undertaken over two days as the Inspector returned to the home to meet with the homes manager and also speak to other staff members. Records relating to care planning, medication, staff training and recruitment and health and safety were examined. Care staff ands senior were spoken with and staff were observed supporting people living in the home. An inspection of the environment was also carried out. Care Homes for Adults (18-65 years) Page 6 of 24 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission procedure ensures that peoples needs and aspirations are assessed prior to prospective residents moving into the home Evidence: The service has reviewed its Statement of Purpose and Service User Guide and was updating these documents at the time of this visit. The home has admitted one new service user since the previous inspection and is now fully occupied. Evidence was seen of the pre admission work that was undertaken and the work that was completed to produce a care plan that would meet the needs of the person. The service was confident that the needs could be met before the admission took place. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed care plans ensure that the service users needs are documented and guidance is available to staff. The home takes action to encourage service users to make choices and supports them to take appropriate risks. Evidence: All service users have detailed care plans in place and efforts have been made to make these person centered. The plans contain information and guidance to staff on a range of care issues and outline how needs can be met. Whilst efforts are made to include the people using the service in the review of their plans this is limited due to their level of disability. Parts of the plans are reviewed and monitored on an ongoing basis and each person also has a full annual review which can involve outside professionals and families. Care staff were aware of their role in the reviewing process. Efforts are made to promote choice and people are encouraged to be involved in the daily running of the home in as much as their abilities allow. Appropriate risk assessments are in place and these had been reviewed at the correct Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: intervals. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home supports the service users to develop individual lifestyles and activities that are appropriate to there needs and aspirations. Evidence: People living in the home have been supported to develop their own routines which include a variety of activities appropriate to their needs and interests. People undertake group and individual activities and there was evidence that these are monitored to ensure that needs are met. Efforts are also made to promote consistent and predictable routines which are needed for some people to minimise anxiety and better meets their needs. People are supported to maintain contact with family and relatives. Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: The menus were examined and it was seen that a healthy diet is promoted but that choice is respected. Staff spoken with were positive about the quality and variety of food that is provided within the home. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported to access the health care professionals they require to ensure that their physical and emotional health needs are met. Satisfactory arrangements are in place for the handling of medication, promoting service users wellbeing. Evidence: The care plans contain detailed guidance for staff on how personal care needs should be met and how the support should be delivered. These plans are reviewed on a regular basis. There was evidence that specialist professional input is sought and provided when required and that guidance is then included into the individual care plans. The home have begun developing Health Action Plans and there was evidence of regular health checks being completed and the outcomes being recorded. An examination of the medication storage and administration was undertaken and found to be in order. Staff must complete medication training before they are Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: permitted to undertake this task. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe environment for service users in which they are respected and treated with dignity. Evidence: All care staff and senior staff have undertaken awareness training on adult protection issues and the home has policies and procedures in place that comply with the regulations. Due to the nature of the disabilities it would be difficult for the present service users to raise concerns or make a complaint but people have regular contact with their families and also with outside professionals. The Provider failed to inform the Commission about the termination of a staff members contract, who had been suspended from the home for an extended period of time. This related to offenses committed away from the home.The Commission have communicated separately about this issue with the Provider. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a physical environment that is appropriate to the needs of the service users. Service users are supported and encouraged to personalize their living space according to personal taste and needs. Evidence: The home provides spacious and comfortable accommodation and various parts of the home have been decorated and updated. There were a number of ongoing unfinished projects, inside and out that needed completing. This gave the home an untidy appearance in parts. The homes manager stated the work would all be completed within the next three months. The office for the home has been moved to an upstairs room and requires better organizing and tidying to make information more accessible and give a more professional impression to visitors.The head of home stated that they anticipated the work being completed within the next three months. The home was clean and hygienic at the time of this inspection. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have their needs met by an effective and motivated staff team. Evidence: The rotas showed that the correct staffing levels are maintained to meet the needs of the people living in the service. On the day of the visit there were three care staff covering the home working with three service users. One of these was a senior member of staff. Staff demonstrated a good understanding of the needs of the people living in the home and were observed communicating in an effective and appropriate manner. Staff spoken with and observed, appeared motivated towards providing a high standard of care and support to the people living in the home. All staff were up to date with the required statutory training and have been receiving regular formal supervision and informal support from the management team. Staff said they thought they worked well as a team and received good levels of support. The recruitment records were examined and found to be in order with the required checks having been completed and recorded. Evidence was seen of how the staff team and management had worked together to challenge poor practice and take effective action to improve outcomes for people living in the home. Care Homes for Adults (18-65 years) Page 18 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from a service that is well managed and committed to providing good quality care and support. Evidence: We met both the Provider and the homes manager during this inspection. The Provider is also the registered manager and along with the homes manager, has several years experience in running in the home and both have completed the Registered Managers Award and NVQ 4. Staff spoken with said they felt well supported and that the management was approachable and listened to concerns or issues raised. Leadership and guidance is provided around care issues through staff meetings and informal supervision. The service conducts an annual quality assurance survey of all staff and stake holders but this had yet to be done in the current year at the time of this Inspection. The main office has been moved recently to the upstairs of the house and was yet to be properly organized, making some information difficult to access, being rather cluttered and untidy. Care Homes for Adults (18-65 years) Page 19 of 24 Evidence: All health and safety checks had been completed and recorded and all fire servicing was up to date and recorded. Care Homes for Adults (18-65 years) Page 20 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 21 of 24 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, Care Homes 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 1 23 37 The service must ensure that all notifiable incidents are reported to the Commission. Allegations of misconduct and convictions against staff are notifiable incidents to the Commission and must be reported with the appropriate detail and outcomes 28/12/2009 2 24 23 The home must inform the Commission when all the current work being undertaken on the property is completed. The service must ensure that all the ongoing maintenance and improvements are completed within a reasonable timescale and that the quality of the environment is improved. 28/12/2009 Care Homes for Adults (18-65 years) Page 22 of 24 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 The registered manager should undertake further training in the area of Safeguarding Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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