Latest Inspection
This is the latest available inspection report for this service, carried out on 4th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Lyngate Care Home.
Annual service review
Name of Service: Lyngate Care Home The quality rating for this care home is: The rating was made on: two star good service 2 4 1 1 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Stoddart Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 236 Wigan Road Bolton Lancashire BL3 5QE 0120462150 01204657441 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Lyngate Health Care Limited Number of places (if applicable): Under 65 Over 65 0 41 The Home is registered for a maximum of 41 service-users to include: Up to 41 service-users in the category of OP (Older People) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Lyngate care home provides care and accommodation for up to 41 older people. The home is situated approximately one mile from Bolton town centre. There are bus routes, shops, a bank and other community facilities close by. The home is on three floors and it has 29 single bedrooms and 6 doubles. Twenty-four of the rooms are ensuite. There are four lounge/dining rooms and an activities lounge. Three of the lounges have kitchenettes where residents and visitors can make drinks. There is a garden at the front of the home and a car park at the back. The home is fitted with suitable adaptations and equipment such as a passenger lift, assisted baths and
Annual Service Review Page 2 of 8 2 4 1 1 2 0 0 8 showers, portable hoists and grab rails. In addition to care staff, the home employs an activities co-ordinator, cooks, kitchen assistants, domestic staff and a maintenance worker. A brochure describing the homes services is available. The provider gives other information about the home to new and prospective residents and their families verbally and they are also offered a copy of the homes Service User Guide (Residents Information Guide). The current weekly charge for accommodation and services range from 372.93 pounds to 385.00 pounds with additional charges being made for hairdressing, chiropody, extra toiletries, newspapers, holidays and trips out. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The annual service review for Lyngate Care Home included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the manager has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The manager sent us their annual quality assurance assessment (AQAA) when we asked for it and it gave us very detailed information on the service. We looked at the information in the AQAA and our judgment is that the manager and staff are still providing a good service. They recognise that they are striving to make further changes as a result of listening to people. They were also able to evidence what they do well and changes already implemented. Surveys were sent out to residents and staff to obtain their views on the home. No surveys were received at the time of this report. The AQAA reported that the home has clear information available to enable prospective residents to make an informed choice if they wish to live there. This is provided in the form of a service user guide, statement of purpose and copies of the most recent inspection reports available to them. In addition they have a brochure with pictures of the home. Prospective residents and their relatives are invited to view the home at any time for a trial visit, stay for the day and sample the meals. The AQAA reported that all residents are fully assessed prior to admission and involves the resident and their relatives. Thus ensuring their needs can be met. Contracts are provided in writing to confirm the care and support agreed. The AQAA reported that improvements have been made to ensure the assessment documentation is clear and outlines all the residents care needs. Intermediate care is not provided at the home. Annual Service Review Page 4 of 8 Residents have a plan of care,which identifies their individual health and social care needs. The care plans have been reviewed since the last inspection and are based on the information received in the assessment. The AQAA reported that the care plans read like a story and includes all the core values of the residents care needs to ensure they are met. This provides the staff with the information they need to enable them to provide the care and support in the way the residents prefer. The staff record any changes made to the care provision to ensure the ongoing care of the residents. The AQAA reported that residents personal and oral hygiene is promoted. Pressure sore care is monitored effectively. Access is available to health care services, social workers and district nurses. Thus ensuring the health and well being of the residents is monitored closely at all times. Relevant risk assessments to ensure the residents safety are undertaken, reviewed regularly and recorded. Residents nutritional needs and weight are recorded and any changes in the condition of the residents health are acted upon. Thus providing continuing care of the residents needs. Medication policies and procedures are in place and staff adhere to these when administering medication. Thus ensuring a safe system is in place to protect the residents. All staff who administer are trained and their competency assessed regularly to ensure medication is delivered in a safe manner to the residents. Those residents who wish to administer their own medication are allowed to do so following a risk assessment to ensure their safety. The AQAA reported that the residents privacy and dignity is maintained at all times. Staff always knock prior to entering residents rooms. Training in this area is provided to all staff on their induction and within the homes training plan. The AQAA reported that the home promotes residents choice as they are involved in deciding menus, are able to personalise their rooms and are encouraged to manage their own finances where possible. There is a full time activity coordinator who develops the programme through discussion with the residents. Regular trips out are organised to enhance their quality of life. The routines of the home are flexible to meet the residents needs. Meals are nutritious and alternatives are offered. Special diets are catered for and a record of the residents likes and dislikes are recorded in their plan of care. The AQAA reported that the residents enjoy a glass of sherry in the afternoon. The home has a simple complaints policy and procedure, which the AQAA states encourages residents to raise any concern they may have and feel they will be listened to. There have been no complaints to the Commission and the AQAA reported no complaints have been made to the home. All staff are training in the protection of vulnerable adults to ensure they are aware of how to protect the people they care for. No safeguarding referrals have been made in the last twelve months. Deprivation of Liberty training has also been provided to staff to ensure they are aware of how to help people who may lack the capacity to make certain decisions. The manager was contacted to confirm no Deprivation of Liberty applications have been made at the time of this report. The home has links with an external advocate to assist residents with advice on certain issues. Annual Service Review Page 5 of 8 Staff are recruited following robust procedures to ensure resident are safe from harm. This includes an up to date criminal record bureau check (CRB) and two written references. Staff are provided with a full training programme to ensure they have the skills to carry out their roles safely. Of the 24 staff employed 18 are qualified in at least National Vocational Qualifications (NVQ) Level 2. The home has an ongoing maintenance programme and the internal decor has been updated since the last inspection. Thus continuing to provide pleasant, homely place for the residents to live. CCTV is in place at the entrance and exits, however this does not intrude on the residents privacy. The hone is adapted to suit those residents with mobility needs. The laundry is separate and follows infection control procedures to minimise the risk of cross infection. The AQAA stated that the equipment is state of the art to ensure the residents clothing is cleaned and laundered to their liking. There are several communal areas for the residents to sit and meet with their relatives. A smoking shelter is available for those residents who wish to use it. The AQAA reported that all certificates for services are up to date, such as gas. Thus providing a safe place for the residents to live. The AQAA reported that residents are able to contribute to the running of the home. The manager and the provider are in daily contact with them and spend time talking to them informally regarding their care. Residents meetings are held to obtain their views and any actions required are addressed and recorded. The homes open door policy encourages the residents to pop in to see the manager at any time. Residents are involved in the planning of their care, which is person centered to ensure they receive positive outcomes. Care staff are encouraged to talk to the residents and especially spend one to one time with those who have difficulty communicating. This ensures all the residents are able to comment on the care and support provided. The activity organiser seeks the views of the residents on the activity programme to ensure it meets their social needs. Residents are encouraged to take part in the recruitment of new staff thus enabling them to choose the people who will provide their care. Questionnaires are sent out annually to seek the views of the people who use the service and their views are listened to. The AQAA reported that as a result of listening to their residents the home has made improvements to the environment in the form of redecoration and the purchasing of new furniture. The residents have been involved in choosing colour schemes and comfortable chairs for the lounge. The home now has a pet cat as the residents expressed that they wished to have one. The AQAA reported that equality and diversity is incorporated throughout the home. The assessment includes equality and diversity to ensure that all residents are treated fairly and their wishes are respected. All staff are trained in this area and have the policies and procedures available to them to ensure compliance. Changes are made to the environment should it be identified that where residents have a particular need the home makes changes to ensure their dignity, respect and Independence is promoted at all times. The AQAA gave an example of this as the home made changes to the toilet flooring to assist those with a sight impairment. A new mini bus was purpose built to ensure all the residents are able to use this for trips out regardless of mobility and disability problems. A smaller vehicle has been purchased with wheelchair access to provide transport for the residents on a personal basis.
Annual Service Review Page 6 of 8 The manager has years of experience in the care of older people. She has achieved a Registered Managers Award in NVQ Level 4. The home has an open and transparent approach and encourages people to let them know if they are providing the care and support in a correct manner. The manager is responsible for the supervision and appraisals of staff. Thus ensuring they are supported within their roles. The manager continues to advise us about things that have happened since our last key inspection. All accidents and incidents are recorded and the Commission informed of any concerns. The manager works well with us and has demonstrated to us that their service continues to provide good outcomes for the residents. There has been no cause to the visit the home since the last key inspection. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 7 of 8 Reader Information
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