Care Home: Longview Residential Home

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What the care home does well All staff have received updated training appropriate to their role. The home has completed a new wet room for the comfort of people living in the home. Some of the people living in the home were spoken with and all said they were happy with the care and support they receive from the staff. What the care home could do better: The continuation of updating all care plans would ensure that all staff are aware of thecurrent needs and changing needs of people living in the home. Random inspection report Care homes for older people Name: Address: Longview Residential Home 66/68 Plymouth Road Plympton Plymouth Devon PL7 4NB one star adequate service 20/05/2009 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: Kim Fowler Date: 1 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Longview Residential Home 66/68 Plymouth Road Plympton Plymouth Devon PL7 4NB 01752337203 NOFAX longviewpl7@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr John Richard Underhay,Mrs Isabel Margaret Underhay Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 15 Number of places (if applicable): Under 65 Over 65 0 15 dementia old age, not falling within any other category Conditions of registration: 15 0 The maximum number of service users who can be accommodated is 15 The registered person may provide the following category of service only: Care home only - Code PC to service users of female gender 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[E]) Date of last inspection 2 0 0 5 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Longview is a detached property situated in a residential area of Plympton close to local amenities. The home is registered to provide accommodation and personal care for up to 15 women over the age of 65 for reasons of old age and dementia. Accommodation is provided over 2 floors, offering 11 single rooms and 2 double rooms. A stair lift provides access to the first floor, however there is one step at the top of the stairs and also steps at the main entrance, making access difficult for residents with mobility difficulties. There is a large lounge room and dining room on the ground floor, both of which have doors opening onto the patio. There is a garden that is well maintained and attractive. Currently the fees for the home range from 376 pounds to 400 pounds a week but this may vary depending on individual needs. Not included in the fees are the costs of chiropody, hairdressing, transport and residents personal items. Care Homes for Older People Page 3 of 9 What we found: We visited Longview Residential Home on Friday 11th June 2010 at 10:00am. The staff on duty assisted with this Random Inspection with Mr and Mrs Underhay arriving near the end of the inspection to provide additional assistance. The purpose of this inspection was to review the records and hold discussion with the last two people admitted to the home and to include a medication review of these two admissions. Also to review the records and hold discussions with the last two staff members to be appointment, review any controlled drugs held, a brief tour of the premises and to review any notification and accident recorded. We also discussed with Mr and Mrs Underhay what process they had put in place following a recent safeguarding alert after one person living in the home had fallen and the staff were unable to lift this person off the floor. The home has not had any new admissions for some time therefore several files were examined of people currently living in the home. This included the file for the person referred to the Safeguarding team. Both files examined had not been updated for sometime. Mr. Underhay confirmed that Plymouth City Council were allocating someone from the review team to assist with the updating of all files. The home had also purchased a new computer programme designed to assist Care Homes with the care plans and other information required to meet this standard. The Requirement made in the last inspection carried out on the 20th May 2010 has not been completed. The Requirement stated: (Standard 7/Regulation 13). All care plans must be completed in full, reviewed and updated. This requirement was carried over from the last inspection. This will ensure that staff are aware of and able to meet the needs of people living in the home. The Requirement has been repeated on this inspection report with a extended completion date as Mr. Underhay has clearly stated that he has purchased a new computer system to assist with the update of care plans and Plymouth City Council are also sending a person to assist with this task. It has been requested by the Commission that Mr. Underhay writes to the Commission on completion of the updated Care Plans as Required. Mr. Underhay confirmed that Risk assessments would be updated and completed within the new computer system. A discussion had taken place about the security of the building and in particularly as one person had a tendency to wander. Mr Underhay confirmed that the home has been fitted with several new doors accessing the rear of the property and front of the property and each had suitable locks in place. During the inspection a new front door alarm was been fitted and a senor was also being place on the doors leading to the rear of the property. A discussion was held on the use of waking night staff due to the changing needs of the people living in the home. Mr Underhay confirmed that he had met with the placing authority and he was now looking at the recruitment of a waking night staff. This would Care Homes for Older People Page 4 of 9 help protect people who wander at night. The safeguarding issues raised were discussed with Mr Underhay. He was able to confirm that new systems were being put in place and that the home had on order two mobile hoists to assist staff in providing manual handling to any person that needs this. Mr Underhay was also able to say that several of the people living in the home had been referred to the local Falls Team for advice and assistance. One staff member spoken to raised concerns about the lack of lifting equipment but was aware that the owners had purchased new hoists and stated that the changing needs in some of the people living in the home required them to need assistance with moving and handling. No staff files were examined during this inspection. However the last inspection carried out on the 20th May 2010 raised no areas of concern on staff recruitment. All the staff on duty were spoken with and were able to state that regular training was provided and on the afternoon of the inspection the staff were due to attend Fire Safety training. Several staff confirmed that they had completed medication training with Boots the Chemist. The medication system was discussed with the staff member on duty and all areas were satisfactory. Further discussion with staff showed they were aware of the medication changes for one person living in the home. A brief tour of the premises was undertaken and this showed several areas of updating. This included the use of a wet room for people living in the home. Also updated were the purchase of new carpets in many communal areas and clearing the courtyard area for the use of people living in the home. Several of the people living in the home were spoken with and all were happy with the service they receive. One stated, I am looked after very well and another saying, The food is lovely and the staff are excellent. The Commission received a number of surveys from people living and staff working in the home. One staff survey recorded, Like a family run home and another saying, We make sure everyone is happy and well cared for. One person living in the home stated, I am well looked after another under what could the home do better wrote, Really and truly as far as I am concerned they are excellent. What the care home does well: What they could do better: The continuation of updating all care plans would ensure that all staff are aware of the Care Homes for Older People Page 5 of 9 current needs and changing needs of people living in the home. 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 6 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 7 15 All care plans must be in 31/08/2008 place and reviewed regularly to ensure service users needs in respect of his health and welfare are met. All care plans must be 31/08/2009 completed in full, reviewed and updated. This requirement was carried over from the last inspection. This will ensure that staff are aware of and able to meet the needs of people living in the home. 2 7 15 Care Homes for Older People 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 7 15 All care plans must be 29/10/2010 completed in full, reviewed and updated. This requirement was carried over from the last inspection. This will ensure that staff are aware of and able to meet the needs of people living in the home. 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 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 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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