Care Home: Longlands Nursing Home

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What the care home does well The home has good relationships with the local general practitioner who visits weekly. There was evidence in people`s care plans that they saw other health care professionals regularly, including a chiropodist and optician. Everyone had a care plan which described their main care needs and which had been updated regularly. Residents told us that they were happy in the home. They told us that the food was good although the menu was not always that which was displayed in the entrance hall. They said that the chef was flexible and that she would always cook them something special if they did not like the main menu choices. Recruitment procedures are thorough and residents told us that staff were kind and caring. A copy of the complaints procedures is displayed in the hallway. Residents told us that their concerns were listened to. Records of written and verbal complaints are kept. The log showed that there have been no written complaints during the last year. Most staff have had training in safeguarding procedures and there is a plan in place to ensure that all staff are updated on the protection of vulnerable people regularly. We are not aware of any complaints or safeguarding referrals made to the local authority which is the lead agency in these matters. A requirement was made at the last inspection that bedpan sanitizers were installed to help minimise the risk to service users of acquired infection. These have now been installed. What the care home could do better: There is a need to improve the way in which resident`s risk of becoming malnourished is assessed and recorded. Although the home uses a recognised tool to assess nutritional risk staff were unsure as to how to complete it correctly. Of the three people whose care plans were checked two had lost weight. Staff had recognised the weight loss however and were taking action with individuals despite the fact that the records were incomplete. The quality assurance procedures should be implemented in a systematic manner, particularly when the home does not have a permanent manager. The deputy manager was asked to act as manager until a new manager was appointed, with support from two local home managers. She was not been given any specific time to undertake that role and has combined it with her role as deputy manager and as nurse in charge of the shift when on duty. The last organisational quality assurance audit was undertaken on the 22nd January 2010. The audit returns identified some areas of concern. An action planwas not developed in response to the audit. The organisation`s quality monitoring procedures must be maintained and acted upon, particularly during a period of change. The home`s last fire safety inspection was in 13th June 2010 when deficiencies were noted. An action plan was developed but has not yet been implemented in full. This must be addressed. Random inspection report Care homes for older people Name: Address: Longlands Nursing Home Pound Lane Cassington Oxfordshire OX28 1DL two star good 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: Chris Sidwell Date: 1 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Longlands Nursing Home Pound Lane Cassington Oxfordshire OX28 1DL 01865881440 01865883286 longlands@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Chiltern Care Homes Ltd (part of the Southern Cross Healthcare Group) Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 35 Number of places (if applicable): Under 65 Over 65 35 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 35 The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Date of last inspection Brief description of the care home Longlands Nursing Home was formerly a private residence and is in a most attractive situation close to the church and centre of the village. A purpose-built extension has Care Homes for Older People Page 2 of 8 Brief description of the care home been added to provide a pleasant two-storey care home with nursing, providing 31 single rooms and two double rooms, all with en-suite facilities, including showers. There are several sitting areas and two dining rooms provided for people who live there. The grounds are extensive and attractive and provide a pleasant outlook from all the rooms. There is ample car parking space in front of the premises. Please contact the home to get information about fees. Care Homes for Older People Page 3 of 8 What we found: The focus of this unannounced inspection was to ensure that the home was being well managed, that peoples health and personal care needs were being met and that the home had met the requirements of the previous inspection. We found that peoples health and personal care needs were being met and that the requirements made following the last inspection had been met. We were told that a new manager had been appointed to the home who would be starting shortly. What the care home does well: What they could do better: There is a need to improve the way in which residents risk of becoming malnourished is assessed and recorded. Although the home uses a recognised tool to assess nutritional risk staff were unsure as to how to complete it correctly. Of the three people whose care plans were checked two had lost weight. Staff had recognised the weight loss however and were taking action with individuals despite the fact that the records were incomplete. The quality assurance procedures should be implemented in a systematic manner, particularly when the home does not have a permanent manager. The deputy manager was asked to act as manager until a new manager was appointed, with support from two local home managers. She was not been given any specific time to undertake that role and has combined it with her role as deputy manager and as nurse in charge of the shift when on duty. The last organisational quality assurance audit was undertaken on the 22nd January 2010. The audit returns identified some areas of concern. An action plan Care Homes for Older People Page 4 of 8 was not developed in response to the audit. The organisations quality monitoring procedures must be maintained and acted upon, particularly during a period of change. The homes last fire safety inspection was in 13th June 2010 when deficiencies were noted. An action plan was developed but has not yet been implemented in full. This must be addressed. 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 5 of 8 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 6 of 8 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 1 8 12 The organisation must 30/06/2010 ensure that peoples risk of becoming malnourished is assessed correctly at regular intervals and appropriate action is taken. To prevent residents becoming malnourished. 2 33 35 The organisation must ensure that the quality of care is reviewed regularly and action is taken should deficits be identified. To ensure a high standard of care at all times 30/07/2010 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 7 of 8 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. 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