Care Home: Longridge Court

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What the care home does well Longridge Court provides purpose built accommodation for people who have a physical disability providing specialist adaptations and equipment where needed. People have been supported to individualise their rooms to reflect their interests and lifestyles. Communal areas have been redecorated to provide a warm, comfortable environment. What the care home could do better: Requirements issued at the last inspection were not inspected and so will be carried over. Care should be taken when writing daily records to make sure entries are not subjective and use plain English. The complaints folder must contain copies of complaints concerning the home and the outcome of these complaints. Random inspection report Care homes for adults (18-65 years) Name: Address: Longridge Court Longridge Court Bull`s Cross Stroud Gloucestershire GL6 7HU 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: Lynne Bennett Date: 2 8 0 8 2 0 0 9 Information about the care home Name of care home: Address: Longridge Court Longridge Court Bull`s Cross Stroud Gloucestershire GL6 7HU 01452814341 01452810712 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Voyage Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 14 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: Date of last inspection Brief description of the care home 14 14 Longridge Court provides accommodation to 13 people with a learning and/or physical disability in three separate dwellings. It is owned and managed by Voyage Ltd. People living in the main house may have high care needs, such as wheelchair dependence, auditory and visual impairment, autistic spectrum disorder or epilepsy. People living in Almartom (the annexe) may have additional low level challenging behaviour. People living at The View (the flat) may have a learning disability and associated challenging behaviour. Situated near to the village of Painswick, Longridge Court is in a rural Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home location and has easy access to the neighbouring towns of Stroud, Cirencester and Gloucester. 7 people live in the main house and 3 people may live in the flat. Almartom accommodates 3 people. (This has been reduced from the initial registration for 4). All three residences are self-contained with single rooms that have en-suite facilities. The house has a lounge, music room and dining room, whereas the other residences have a combined lounge/diner. Almartom has a sensory room. There are substantial grounds around the property. People living at the home have access to three vehicles. The fees at the home range from 1,412 to 1,746 pounds per week. The Statement of Purpose and Service User Guide are displayed in the hallway to the main house, further copies are available from the office. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We last inspected this service on 21st July 2008 when it was rated as a good/2 star service. We completed an Annual Service Review for this service in July 2009 which indicated the rating had not changed. This inspection took place in August 2009 to follow up on a complaint received by Voyage about the care and wellbeing of a person living at the home which included concerns about access to activities, staffing levels and one to one support. We (the Care Quality Commission) were provided with a copy of Voyages response to the complainant. We visited the home on 28th August and met with people living at the home, the manager and staff. We examined care plans, activity records, daily diaries and health records for three people living in the main house for two weeks in June and a week in August. We looked at staff rotas for three months from June to August 2009 and discussed staffing levels and vacancies with the manager. The manager had recently been appointed and was in the process of applying to us to become registered. Records indicated that people were having access to a range of activities and opportunities both within the home and in their local communities. Each person had an activity schedule in place and for the summer months when colleges and day centres were closed an alternative summer schedule had been developed. An activities coordinator had been appointed since our last inspection to provide flexible support to people both within and outside of the home. During our visit she supported one person to have a sensory bath, to go shopping and then supported others out for lunch. Individual activity records had been kept for each person indicating their level of interaction with the activity. We discussed the language being used in these records and in daily notes. The manager said that this had been identified and that report writing training was being set up for staff. Records indicated that people had been supported to go horse riding, swimming, to the cinema, the pub, out for lunch, to a garden centre, on a day trip, to college, shopping and to a day centre. Whilst at home people had been involved in music therapy sessions, massage, manicures and pedicures, use of the sensory room, helping look after rabbits, helping or observing cooking/meal preparation and using a standing frame. Staff spoken with said that they had sufficient staff to support people with their activities and that when needed additional staff would be provided or staff would work longer hours to make sure people had access to activities. Rotas examined indicated that one shift had not been covered but all other shifts over this three month period had been covered by staff working within the home. The manager stated that two new staff had been appointed and that advertising was taking place for another two vacancies. Staff confirmed that they had been able to cover spare shifts as a team but could use agency staff as a last resort if needed. An activity had been changed for one person that day because staff were concerned that they were very tired and had been distressed earlier in the week. Their records indicated that they had been referred to the local Community Learning Disability team (CLDT) and taken to their Doctor for further investigation. Other health care records indicated that people were having access to a range of health professionals on a regular basis including a General Practitioner, Dentist, Optician and Chiropodist. Changes in peoples wellbeing were being monitored and any concerns promptly followed up with the appropriate Care Homes for Adults (18-65 years) Page 4 of 9 people. One person had received an assessment from a Speech and Language Therapist and the recommendations from their report were being implemented by staff. Dietary supplements were being provided for another person as indicated in reports from the CLDT. Monitoring forms were being used and individual food records maintained for each person. The new manager has considerable experience working in this area of care and has worked for Voyage for a number of years. She was formulating a long term developmental plan for the home and was keen to provide opportunities for people to use all parts of the home. People in the main house were using the sensory room in Almartom on a regular basis and people were having barbeques and parties together. Likewise staff were working in each unit to develop their knowledge and skills of all people living in the home. During our visit we asked to see a copy of the response from Voyage to the complainant but a copy had not been kept in the home. 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 Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 5 5(1)(bb) Each person must be given information about the charges for the service they receive. This is so that they are aware of the cost of the service they are receiving. 30/09/2008 2 17 13(6) Clear processes and 30/09/2008 procedures need to be in place for people being supported to have meals or drinks away for the home, the financing of these and staff. This is to safeguard people from possible financial abuse. Night staff and staff 29/08/2008 administering medication must complete training in the safe handling and administration of medication. This is to safeguard people from harm due to possible medication error. Medication must be 30/09/2008 administered to people safely, making sure that where homely remedies are used these have been recorded for each person and authorisation given by their Doctor or the Pharmacist. Page 6 of 9 3 20 18(1)(c) 4 20 13(2) Care Homes for Adults (18-65 years) 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 This is to protect people from possible harm. 5 23 13(6) Staff working with people 30/09/2008 who may present with challenging behaviour must have access to training in the use of physical intervention, with opportunities for annual refreshers. This is to safeguard people from possible harm. 30/08/2008 6 34 19(4)(b) Sch. Evidence that proof of 2.1 identity including a current photograph had been obtained must be provided. This is to safeguard people from possible harm. 19(4)(b) Sch 2.4 Where staff have previously worked with adults or children, written verification of the reason why they left that employ must be obtained. This is to protect people from possible abuse. 7 34 30/08/2008 8 35 18(1)(c) Staff must be supported to 30/10/2008 gain the knowledge and skills they need to perform their roles. This is in relation to moving and handling and basic food hygiene training as well as other key training. (This is repeated from previous inspections although it was evident work is in action to remedy this). Care Homes for Adults (18-65 years) Page 7 of 9 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 22 17 The registered person must 30/09/2009 keep a record of any complaints received about Longridge Court in the home including a copy of the outcome of the complaint. This is so that the information is available to us at inspection. 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 6 Entries in care plans and other corresponding records should be written respectfully in plain english. Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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. Copyright © (2009) Care Quality Commission (CQC). 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