Care Home: Lyncroft

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well The statement of purpose is available in large print. The care provided by staff is very good and each person living in the home is recognised as an individual with their likes and dislikes known by staff. The cook provides a varied choice of meals and alternatives when people do not want what is on the menu. What has improved since the last inspection? The conservatory has had all the necessary fixtures and fittings put in place including lights and blinds so that people can be comfortable and safe. The garden lights have been removed so the safety of people in the home is assured. Care plans and risk assessments are completed and most are signed and dated. What the care home could do better: There were no requirements or recommendations made as a result of this inspection, however the staff and management must not become complacent as there is always room for improvement. CARE HOMES FOR OLDER PEOPLE Lyncroft 81 Clarkson Avenue Wisbech Cambridgeshire PE13 2EA Lead Inspector Alison Hilton Key Unannounced Inspection 14th April 2009 07:40 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyncroft Address 81 Clarkson Avenue Wisbech Cambridgeshire PE13 2EA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01945 475229 01945 582497 www.countrycourtcarehomes.com Mr Abdulaziz Alykhan Kachra Wendy Dellaway Care Home 39 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (36) of places Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15/04/08 Brief Description of the Service: Lyncroft is a care home providing accommodation, care, and support for up to 39 older people. The categories of registration have changed so that the home can accommodate up to 39 older people with dementia. The home is situated approximately half a mile from the centre of the Fenland market town of Wisbech. The home is in an established building, which has been substantially extended. The rooms on the ground floor all have en-suite facilities. Rooms in the older part of the home on the first floor can be accessed by a stair lift. There is a conservatory at the side of the home. There is a large enclosed garden that will be pleasant to sit in when the weather improves. Four care staff are on duty during the daytime and three staff are on duty at night. The current charges are between £343 and £515 per week. There are extra charges for hairdressing, chiropody, toiletries and papers/magazines, telephone lines, TV licences, electrical tests for personal items and any other specialist service such as dry cleaning and escort duties to hospital, GP or other appointments. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We, the Care Quality Commission (CQC) carried out a key unannounced inspection on Tuesday 14th April 2009 between 07:40 and 16:00 hours, using the Commission’s methodology described below. This report makes judgements about the service based on the evidence we have gathered. Staff, people who live in the home and the deputy manager were spoken to. An Annual Quality Assurance Assessment (AQAA) was completed and returned to the Commission prior to this inspection. The AQAA provides factual information and details about how the manager believes the home is meeting the care standards. A number of records were seen, together with the files of two staff members and two people living in the home. There were 36 people living in the home on the day of inspection. What the service does well: What has improved since the last inspection? The conservatory has had all the necessary fixtures and fittings put in place including lights and blinds so that people can be comfortable and safe. The garden lights have been removed so the safety of people in the home is assured. Care plans and risk assessments are completed and most are signed and dated. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. Information provided allows people to decide if their needs can be met in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Intermediate care is not provided at Lyncroft and so Standard 6 does not apply. The statement of purpose provides all the necessary information a person would require, to decide if the home could accommodate their needs. Details in the AQAA showed that pre-admission assessments are completed with the person and their relatives, and this was confirmed on files seen as part of this inspection. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Care staff are given the information they need to provide the best care for people in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The medication round was observed and the carer administered medication according to the procedures laid down. She was knowledgeable about medication to be given with meals and that currently no-one is on controlled drugs. The trolley was locked when she left it to administer the medication and the medication administration record (MAR) sheet completed once given. There was one gap on one MAR sheet looked at during the inspection. The particular medication is given from a blister pack and the blister was empty, leading us to believe the medication had been given with an omission to record this. This was the only error we saw. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 10 One lady said she had been to the optician recently and there was evidence on the files of other input from the GP, District Nurses, dietician and occupational therapy. Two files were seen for people living in the home. It was disappointing that there was no ‘life story’ or other historical information that shows how the person has become who they are. There were forms on file that had not been completed and it was discussed with the area manager that the two files were of people who had been in the home one month and 10months respectively. Information about the person should be an ongoing process from admission onwards. The falls risk assessment for one person was completed but the person and family had refused to sign it and this was documented. The person has had six falls in 2009, some of which have necessitated the ambulance crew to come out. There was evidence that the person’s mobility has been looked at and the GP has been involved. People living in the home looked clean and smart. Some commented that they chose what they put on in the morning and liked to look smart. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. People who live in the home are encouraged to make choices in their lives to satisfy their needs and interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information is kept on activities that have taken place and there were photographs around the home showing some of them. There had been an Easter bonnet making competition and some were on display in the hallway. Each person had been given a chocolate Easter rabbit. A clothing company had been to the home allowing people who cannot get out a choice. There had been a mother’s day party (when all the ladies were given a gift) and a oneman music hall show. The deputy manager said that there was no activities co-ordinator at the moment although she hoped to employ someone in the future. She was intending to arrange some trips out locally when the weather gets warmer and having tea parties in the garden. Many of the ladies had their nails painted and were very pleased with the result and the choices of colour. Some read a lot and some have relatives who take them out to the Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 12 library or town for example. Several said they enjoyed bingo but had not had it for some time. The deputy manager was informed of this. One lady was very pleased that ‘one staff member took me into town, and that was lovely’. Several people were waiting to have their hair done by the hairdresser who attends the home. They were pleased that she keeps the costs down as they are aware what they would pay in the high street. On arrival at the home several people were up and waiting for their breakfast. One lady was concerned as her son was fetching her to attend a hospital appointment and she didn’t want to be late. The cook said her starting time had altered and this made breakfast slightly later. One person said they were waiting for their toast “I like it with marmalade but don’t seem to get it at the moment”. His toast arrived as he was saying that, and it did have marmalade on it. People said they had a choice for breakfast. One person was waiting for weetabix, another for cornflakes and one asked for mashed banana. The cook talks to each person in the home to check what they want for lunch that day. She is aware of who is diabetic and how to provide them with appropriate meals as well as one person who needed a restricted diet before going into hospital. Those that do not like the choice are offered a wide selection of alternatives. Menus are placed on dining tables to remind people of the choices. Lunch on the day of inspection was corned beef, ham or eggs with chips, creamed potatoes and beans or peas. If not suitable people were offered a salad, baked potato or vegetable burger. Dessert was jam sponge and custard or yoghurt and fruit. People spoken to said they enjoyed the food and always found something they wanted. On one of the files looked at as part of this inspection there was no evidence of the person taking part in any activities since 1st February 2009, and on the other nothing had been detailed since admittance a month ago. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. People in the home can be confident they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been two reports of abuse in the home, both between residents. They have been referred to the appropriate services and dealt with accordingly. Details in the AQAA showed that the complaints policy is displayed in each bedroom and in the entrance hall of the home. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Quality in this outcome area is good. The improvements made to the conservatory mean people have more safe and comfortable space indoors. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The conservatory has had all the necessary fixtures and fittings put in place including lights and blinds so that people can be comfortable and safe. The garden lights have been removed and the grounds made safe for the people in the home. The AQAA showed that there is ongoing decoration within the home. A parker bath with hydrotherapy has been installed. A new stand-aid hoist has been purchased which has made moving and handling easier for staff and safer for people living in the home. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. The needs of people in the home are met by a trained and competent work force. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has 13 care staff, two domestics, cook and two assistants in the kitchen and the deputy manager. The rota was seen and the deputy manager said that where there were currently gaps on some shifts either staff would fill or she would. The rota had had some changes made and these should just be crossed out so they remain legible. This was discussed with the area manager who said she would look at the rota form and make some changes so that staff could put their name in a different row. Two files were seen for staff in the home. Both had transferred from other County Court homes in the area. Both had most of the necessary paperwork available but one file had only one reference. The area manager was unable to explain this but will be looking into it. As a result we will not make a requirement at this time. There was evidence of training, supervision and Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 16 appraisal on the files. Staff spoken to confirmed they had received supervision and were provided with training. Details of training offered in 2009 is fire safety, nutrition, food hygiene, dementia, safeguarding, COSHH and pressure care. Comments made by those living there were ‘the carers are very friendly’ and it’s very good here’. Details in the AQAA showed that people who live in the home are involved in staff interviews; staff have completed NVQ Level II or III and there is no use of agency staff. The AQAA showed that one way of improving care would be to employ some male staff as there are none currently, Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35.38 Quality in this outcome area is good. Practices promote and safeguard the health and welfare of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has resigned and the deputy has taken over the managerial role. The area manager said that she is supporting the deputy manager at the home to ensure the well being of those living there until such time as a manager is officially appointed. She continues to complete Regulation 26 visits, which are sent to the home by e-mail and kept on the computer. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 18 Regulation 37 forms informing the Commission of serious incidents and deaths are being completed and sent as required. The kitchen has been inspected by environmental health and been rated as four star. According to the log the fire alarms had not been tested since 30/3/09. Lifts, baths and other equipment have been tested within the last year keeping people living and working in the home safe. There has been a survey completed but the results have not been formulated into a plan of action yet. The area manager said the plans are done from head office, however there are issues that need to be picked up quickly such as staff not being happy with weekend or evening training, and residents raising issues about activities. How these issues will be moved forward needs to be shown. Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 21 Care Quality Commission Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lyncroft DS0000015124.V374289.R01.S.doc Version 5.2 Page 22 - 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!