Linlithgow Care Home Care Home Service

Transcription

1 Linlithgow Care Home Care Home Service 45 St Ninian's Road Colthill Linlithgow EH49 7BW Telephone: Type of inspection: Unannounced Inspection completed on: 28 September 2016 Service provided by: HC-One Limited Service provider number: SP Care service number: CS

2 About the service This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April Linlithgow Nursing Home is a purpose-built care facility situated on the outskirts of the West Lothian town of Linlithgow. The home is part of the HC-One Group and is registered to provide 24 hour care for up to 80 older people. The accommodation is provided on two floors, in 80 single bedrooms with en-suite facilities. Stairs and lifts provide access to the upper floor. Bathing facilities and additional toilets are available throughout the home. There are separate kitchen, laundry and staff facilities in the home. The home has its own car park and has attractive gardens. The home is divided into three separate units: Cairnpapple, Cockleroy and Avonfield. The provider's website states that their vision is "to create the kindest care homes in the United Kingdom. Our values will help us to deliver this; Accountability, Involvement, Partnership." What people told us For this inspection we received 18 completed questionnaires from residents and relatives. We also spoke with 18 residents and three relatives during our visits. The returned questionnaires were very positive in their opinion of the service, staff and management. Comments received from both returned questionnaires and people we spoke with included: "In a word - fantastic." "I am really happy with the care and attention my relative receives. The staff go the extra mile to make everything good." "I have no complaints or worries, if I did I wouldn't hesitate to go to the manager because I know she would sort things out." "I am content knowing my relative is well cared for. I can go home and not worry." "The staff phone me if there is anything happening with my relative. We have reviews of their care and meetings regularly to ask my opinions about things." "The staff don't only care about my relative, they care about me too." "I couldn't be living in a nicer place." "The staff are all very caring." "There is always something going on - we have quizzes, the choir, bus trips out, our exercise class and entertainers." "The activity staff are really excellent. They really go out of their way to make sure we have something to do and keep us entertained. Can't praise them enough." Some comments were made regarding meals. Overall, everyone was very satisfied with the quality of the meals they received. However, occasionally people's choices could not be accommodated and some people did not like that the soup was always blended. The management team have agreed to take these comments forward. page 2 of 7

3 During our visit, we used a Short Observation Framework Tool for Inspection (SOFI2) which assists us to record how people interact with residents. We saw that staff interacted overall in a warm and caring manner towards residents. The staff took time for residents to be as independent as possible, making the most of their skills and not rushing them. Self assessment We received a completed self assessment document from the service provider. We were satisfied with the way the service provider had completed this and with the relevant information they had given us for each of the headings that we grade them under. The service provider identified what they thought they did well, some areas for development and any changes they planned. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed 5 - Very Good not assessed What the service does well We received many positive comments from residents and relatives regarding the quality of the staff employed in the care home. We saw that staff demonstrated a very good level of knowledge regarding the care and support needs of residents; they were motivated to provide good standards of care and had a professional and caring approach. We observed that staff at work during the inspection treated residents in a considerate and respectful way. The staff took time for residents to be as independent as possible, making the most of their skills and not rushing them. Staff used their knowledge and skills to help create a comfortable and pleasant atmosphere for residents. There were regular opportunities for staff to share information and give their views. This included supervisions, appraisals and staff meetings. These gave staff and management an opportunity to discuss 'what's working and what can be improved.' There was a wide number of training courses available to staff in relation to their work. Records were kept of training completed. Staff training needs were discussed and reviewed. Staff told us the training had been very useful and had improved their understanding of a resident's needs and how they could meet them. We found that communication between care staff and the manager was very good. Relatives also spoke of being kept up to date on their relatives' health needs and felt confident that they would be informed of any changes in their relatives' care. page 3 of 7

4 We looked at a sample of medication administration records (MARs) and found these to be fully completed. We found that topical administration charts were not routinely being adequately filled in by staff (please refer to 'what the service could do better' below). We sampled fluid intake charts, wound care plans, position change charts and managing stress/distress plans and found these to be generally fully completed and the content evaluated to inform practice (with the exception of stress/distress plans; please refer to 'what the service could do better' below). This meant residents' health was being monitored. Residents we spoke with told us they had confidence in the staff and gave us examples of how well they had been cared for when they were unwell. A record of visits and communication with health professionals was maintained. We were told that there were good relationships with health professionals and good support was offered by them. During our visits we saw that residents were supported to take part in a variety of different activities. Residents confirmed they enjoyed taking part in all the different activities and they really enjoyed the entertainers. What the service could do better We saw that the quest for continued improvement was high on the service agenda and there was a genuine commitment to improvement. These actions helped ensure standards were being maintained, improved where necessary and that residents received the care and attention they needed. Review of medication management systems identified that: There were a number of missing entries on the Topical Medication Administration Records (TMAR). This had been subject to a requirement at the previous inspection visit. The manager acknowledged this was not good practice and agreed to address immediately. A requirement 1 is carried forward. Staff spoken with were able to describe techniques they would use when they were supporting residents who were showing signs of stress/distress. However, in one of the care plans we examined, we found instances where the techniques staff described were not recorded to guide the practice of staff who may not routinely work with these residents. A recommendation 1 is made. Requirements Number of requirements: 1 1. The service provider must ensure medication is managed in a manner that protects the health, welfare and safety of service users. In order to achieve this the provider must ensure ; Administration of medication or reason for omission must be recorded on the TMARs at the time of administration. This is in order to comply with: SSI 2011/210 Regulation 4 (1)(a) - a requirement to make proper provision for the health and welfare of people, SSI 2002/114 Regulation 19(3)(j) - a requirement to keep a record of medicines kept on the premises for residents. page 4 of 7

5 Recommendations Number of recommendations: 1 1. The manager should ensure that there is sufficient up-to-date information recorded in residents' care plans to support and guide staff practice. Good record keeping helps protect the welfare of residents by promoting high standards of care. Reference: National Care Standards, care homes for older people; Standard 6 Support arrangements. Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at page 5 of 7

6 Inspection and grading history Date Type Gradings 15 Oct 2015 Unannounced Care and support Management and leadership 9 Oct 2014 Unannounced Care and support Management and leadership 28 Jan 2014 Unannounced Care and support Management and leadership 30 Jan 2013 Unannounced Care and support Not assessed Not assessed Management and leadership 20 Sep 2012 Unannounced Care and support Not assessed Management and leadership Not assessed 23 Feb 2012 Unannounced Care and support Management and leadership 4 - Good page 6 of 7

7 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 7 of 7