Care Home: Lydfords Care Home

Similar services:

• Springfield House
• Sutton Lodge Nursing Home
• The Shelley
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well Lydfords offers the people living there a comfortable and homely environment, and some were sitting in the garden to the rear enjoying the warm weather. Communicaton between residents, visitors and staff was relaxed and friendly, with visitors saying that they are always made to feel welcome. Residents involved in the inspection said that they were enjoying the group activities and `there is always something to do`. Improvements have been made to the meals, with the same choices offered to all residents, including those who have pureed food. The requirement for the home to provide choices for residents at meal times from the last inspection has been met. What the care home could do better: There have been a number of improvements at the home, and the expectation is that the requirements from the last inspection not assessed at this time will be met by the next key inspection. Random inspection report Care homes for older people Name: Address: Lydfords Care Home 23 High Street East Hoathly Lewes East Sussex BN8 6DR one star adequate service 22/08/2009 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: Kathy Flynn Date: 2 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Lydfords Care Home 23 High Street East Hoathly Lewes East Sussex BN8 6DR 01825-840259 01825840997 lydfords@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Tamaris (South East) Limited (a wholly owned subsidiary of Four Seasons Health Care Limited) Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 50 The registered person may provide the following category of service : 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 category : Old age, not falling within any other category (OP) Date of last inspection 2 2 0 8 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Lydfords Care Centre was originally a Victorian private family home that has been extended and adapted with two purpose built extensions. It is a home registered to provide both nursing and social care for fifty residents, and is situated in a village location in a semi rural position. The accommodation is divided into two units, Firs and Orchard and is on two floors with level access provided by a lift and a chair stair lift. There are four double rooms without an ensuite facility and forty-two single rooms, twenty-four of which have an ensuite bathroom. There is ample communal space consisting of a large dining room, two lounge areas and an activity room, which are on the ground floor and central in the home. On the first floor and on Orchard unit, there is a comfortable quiet lounge; also on Orchard unit there are two areas with comfortable chairs, which are used by families and residents. The gardens are natural, large and are to the side and rear of the property. There are car-parking facilities to the front of the home for approximately fifteen cars. The village shops are 200 yards away and there is also a public house and church in close proximity to the home. A local bus service runs through the village and Uckfield town centre is approximately five miles away. Inspections have identified that fees do not include the cost of toiletries, hairdressing, massage, chiropody, newspapers and outside activities such as visits to the theatre. Full information about the service provided is recorded in the homes Service Users Guide and details of the fees can be obtained from the home, and the latest inspection report is available from the Acting Manager. Care Homes for Older People Page 3 of 8 What we found: The reader should be aware that the Care Standards Act 2000 and the Care Homes Regulation Act 2001 often use the term service user to describe those living in care home setting. For the purpose of this report those living at Lydfords Care Home will be referred to as residents. The inspection was carried out over three hours on the 24th June by a Regulation Inspector. The inspection was undertaken to follow up on Requirements concerning medication and staffing that were made at the last key inspection on 22nd August 2009. The inspection involved discussions with residents and staff, looking at the homes records and observations on the day. The outcome of this visit is as follows: Health and Personal Care - Medication There are two medicine trolleys which are used to take medicines to people living in the home. These are kept in the clinical rooms, one on each floor, which also have fridges for medicines that need to be kept at a particular temperature, and separate secure storage for controlled drugs. Policies and procedures are in place for the ordering, storage and administration of medicines. The nurse involved in the inspection said that she has attended the medication training the home provides to protect residents, and is aware of the homes policies and procedures. The lunchtime administration of medicines on the ground floor was observed in the dining room, residents were assisted and the MAR charts were examined and found to be completed appropriately. The requirement for staff to follow the homes medication policies and procedures from the last inspection has been met. The nurse administering the medicines said that blister packs are used for some medicines and the trolley is too small to hold them, so they have to be kept on top of the trolley which is unsafe. This has clearly been an issue for some time, therefore a requirement has been made with regard to the home ensuring there are safe systems, for the storage of medicines, when they are being administered. Staffing - staff complement The manager advised that the staffing levels are appropriate for the number of people living in the home, which is registered for 50 people, and 41 were resident at the time of the inspection. Feedback from residents and visitors was that the staff are very good, they are very caring and although busy at times they also felt that it was because a number of people want their assistance at the same time. Some of the staff involved in the inspection said that there were enough of them to provide the support and care the residents need, while others said that they would like to Care Homes for Older People Page 4 of 8 have more time to spend with them in addition to providing personal care. The manager said that the routines of the home have changed to ensure that the residents have more choices about all aspects of their day to day lives, and this has resulted in changes in staffing levels at different times of day. To enable residents to have breakfast at a time of their choosing two staff now start at 7am, and they are looking at employing hospitality staff to be responsible for residents drinks throughout the day. She confirmed that the saffing levels are reviewed daily, and more staff are employed if the assessed needs of the residents change. The requirements from the last inspection, regarding staffing levels and enabling residents to make choices about all aspects of their day to day lives, have been met. Staffing - Recruitment Three staff files were examined and found to contain the relevant information including application forms, references and Criminal Record Bureau (CRB) checks. The requirement for effective recruitment procedures from the last inspection has been met. 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 Older People Page 5 of 8 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 3 14 That the home must assesse 28/09/2009 all the prospective residents needs including physical and mental health needs. To ensure the home can offer appropriate care and support. 2 4 14 The home must demonstrate 28/09/2009 that is has the capacity to meet the needs of residents. To ensure the home can meet their individual assessed needs. 3 7 15 That the care plans identify the individual needs of the residents and that they clearly evidence how they are met. To ensure appropriate care and support is offered to residents. 28/09/2009 4 16 22 That the home addresses 28/09/2009 any issued identified when investigating complaints and ensure that appropriate action is taken to. To ensure the residents concerns are listened to and acted upon. 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 9 13 The registered provider must 16/08/2010 ensure that safe systems for the storage and administration of medicines are in place. To ensure residents are protected. 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. 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. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!