Care Home: Longridge Hall and Lodge

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What the care home does well We found that the home has a thorough approach to assessing the needs of prospective residents. This is important because it means that the manager can be sure that the home can meet the needs of the prospective resident before offering them a place there. It also means that carers have a good level of information to plan people`s care. We viewed a number of residents` pre admission assessments and found that they were generally quite comprehensive, containing a good amount of information about their care needs and their social histories. We confirmed that the home does have procedures in place to admit people in emergency situations and that processes are followed to ensure that all assessment information is gathered as soon as possible so that care plans can be implemented. We noted that where possible (and appropriate), the manager had involved people`s relatives at the point of assessment to help ensure that she was aware of all the relevant information. In addition, we noted social work assessments on files for the majority of residents we case tracked. We viewed a selection of care plans and found that they were very comprehensive and informative documents. People`s care plans contained a good amount of information about their individual needs and how they would like their care to be provided. For residents that had been found to require support in more complex areas such as in relation to their behaviours, there was detailed guidance in place to help ensure that carers could approach challenging situations consistently and confidently. In addition, we noted that the home had good processes in place to record and report any significant incidents that could affect the wellbeing of any person living in the home. We were able to confirm that the home has a policy and procedures in place for ensuring that any resident who requires a Mental Capacity Assessment is referred through the appropriate channels. In addition, the manager was aware of the processes she should follow in the event that it is decided that an application should be made in line with the Deprivation of Liberty Safeguards. Throughout our visit we observed staff going about their duties in a pleasant andprofessional manner. There were lots of activities going on including some outdoor games which also involved some relatives, hairdressing and some staff were observed assisting residents to have strolls in the garden area. We spoke with one relative during our visit who told us that she was extremely happy with all aspects of the service provided. She said ``The staff are wonderful, they do lots of things with residents and don`t just leave them to sit in chairs.`` The relative was also very complimentary about the manager describing her as very approachable and helpful. What the care home could do better: We made a recommendation during our visit that the home implement a formal in house assessment process to help determine if any resident would benefit from a mental capacity assessment. This is to help ensure that any resident needing such an assessment is referred to the appropriate agency without delay. Random inspection report Care homes for older people Name: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD two star good service 06/01/2009 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: Marie Cordingley Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD 08452710798 01772786734 Telephone number: Fax number: Email address: Provider web address: www.orchardcarehomes.com Name of registered provider(s): Name of registered manager (if applicable) Ms Lynne Walsh Type of registration: Number of places registered: Conditions of registration: Category(ies) : Orchard Care Homes.Com Limited care home 60 Number of places (if applicable): Under 65 Over 65 0 60 dementia old age, not falling within any other category Conditions of registration: 60 0 The registered person may provide the following category of service only: Care home only - Code PC To people 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 - Code OP Dementia - Code DE The maximum number of people who can be accommodated is: 60. Date of last inspection Brief description of the care home This is a new build home, situated on the outskirts of Longridge. It is within a residential area of the town and there is good access to the local transport network. A large car park enables visitors to park easily and off road. Care Homes for Older People Page 2 of 8 1 0 0 8 2 0 0 9 Brief description of the care home The home is set on two floors. The ground floor being secure due to the dementia conditions of residents occupying this floor. Both floors mirror each other by way of layout and design. The home is registered to accomodate up to sixty residents. There are no shared rooms. The corridors are spacious with good handrail support and residents rooms lead off from the corridors. All residents rooms have their own lock and residents have their own key. They can be overidden by staff in case of emergency. Residents rooms are spacious. All residents rooms have large en-suite facilities which include, a wet shower facility and vivid blue toilet seats for the visually impaired. There is a communal lounge as well as three other lounges available on both floors, and an open plan dining area off the communal lounges, which are spacious and light. The first floor has large panoramic views of the open countryside around the town. The ground floor has access from the communal areas to a well landscaped garden, with seating points and good paths for residents to use. The area is secure so that people are safe. The decoration and furnishings throughout the home are to a very high standard. There is written information made available to all users of the service so that residents, family and advocates know what the home is going to provide, who the staff team are and what services are available to them. At the time of the inspection the fees ranged from £390 to £560 for care of residents with Dementia conditions and £390 to £520 for older persons residential care. Care Homes for Older People Page 3 of 8 What we found: This random inspection was carried out on an unannounced basis. This meant that the manager, staff and residents did not know it would be taking place until we arrived. The purpose of the inspection was to examine the homes processes for assessing the needs of new residents and planning for peoples more complex, behavioural needs. As part of the inspection we tracked the care of a number of residents, viewing their assessment and care planning information. We also spoke with some residents, staff and the manager and carried out a tour of the home. What the care home does well: We found that the home has a thorough approach to assessing the needs of prospective residents. This is important because it means that the manager can be sure that the home can meet the needs of the prospective resident before offering them a place there. It also means that carers have a good level of information to plan peoples care. We viewed a number of residents pre admission assessments and found that they were generally quite comprehensive, containing a good amount of information about their care needs and their social histories. We confirmed that the home does have procedures in place to admit people in emergency situations and that processes are followed to ensure that all assessment information is gathered as soon as possible so that care plans can be implemented. We noted that where possible (and appropriate), the manager had involved peoples relatives at the point of assessment to help ensure that she was aware of all the relevant information. In addition, we noted social work assessments on files for the majority of residents we case tracked. We viewed a selection of care plans and found that they were very comprehensive and informative documents. Peoples care plans contained a good amount of information about their individual needs and how they would like their care to be provided. For residents that had been found to require support in more complex areas such as in relation to their behaviours, there was detailed guidance in place to help ensure that carers could approach challenging situations consistently and confidently. In addition, we noted that the home had good processes in place to record and report any significant incidents that could affect the wellbeing of any person living in the home. We were able to confirm that the home has a policy and procedures in place for ensuring that any resident who requires a Mental Capacity Assessment is referred through the appropriate channels. In addition, the manager was aware of the processes she should follow in the event that it is decided that an application should be made in line with the Deprivation of Liberty Safeguards. Throughout our visit we observed staff going about their duties in a pleasant and Care Homes for Older People Page 4 of 8 professional manner. There were lots of activities going on including some outdoor games which also involved some relatives, hairdressing and some staff were observed assisting residents to have strolls in the garden area. We spoke with one relative during our visit who told us that she was extremely happy with all aspects of the service provided. She said The staff are wonderful, they do lots of things with residents and dont just leave them to sit in chairs. The relative was also very complimentary about the manager describing her as very approachable and helpful. 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 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 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 17 A formal process should be implemented for the purpose of determining if a resident should be referred for a Mental Capacity Assessment. This is to help ensure that any resident requiring such an assessment receives one without delay. 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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