Inspection on 07/05/09 for Cranbourne House

This is the latest available inspection report for this service, carried out on 7th May 2009.

CQC found this care home to be providing an Good service.

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.

Other inspections for this house

Cranbourne House 02/05/07

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cranbourne House 52 Yarm Road Stockton on Tees Cleveland TS18 3PF     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michaela Griffin     Date: 0 7 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Cranbourne House 52 Yarm Road Stockton on Tees Cleveland TS18 3PF 01642634597 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Mary Matthews,Mr J Matthews care home 3 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 3 Cranbourne House is registered with the Care Quality Commission, under the Care Standards Act 2000, as a care home. The service is owned and run as a small family business by a married couple who are involved in the day to day management of the service. Three people live in this home and the providers know them well. The home is on a busy residential street, near to the town centre of Stockton, and it fits in with other homes in the road. It is a large house, well maintained and provides a pleasant and safe environment for the people who live there. People who live in the home are encouraged to live as independently as possible and lead the lifestyles they choose. The weekly fees are #378 (May 2009). Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The provider supplied some information prior to the inspection on a form called an AQAA. This is an annual quality assurance assessment for the home to provide information about their service. The inspection took place on one day. It focused on key standard outcomes for people using the service and checked whether the requirements and recommendations from the previous inspection had been met. The inspector visited the home and talk to one of the three people who lives there and to two staff. Before the visit, all three people who live in the home and three other staff who work there filled in surveys. They gave their views about the home. After the Care Homes for Adults (18-65 years) Page 5 of 27 visit, the inspector spoke to two health and social care professionals about the home. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the chance to visit and find out about the home before they decide to move in. The home makes sure it will be able to meet peoples needs before they are offered a service. Evidence: The home provides information about the services and lifestyle it offers. This is to help people to decide if they want to live there. Each person has a service user guide with information about what he can expect. The information provided is in large print, which makes it easier for people to see. But it is still in written English only. People have plenty of opportunities to find out about the service, by talking to the manager and staff and by meeting the other people who live there before they are offered a place in the home. The home should offer information in alternative forms for people who do not read written English, for example in simpler language and with pictures or on audio tape. It should also let people know that it get provide the information in other languages and Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: Braille. This is to let people know that it welcomes people with different communication needs and preferences and from different communities and backgrounds. The manager knows the three people who live in the home very well and understands how they prefer to communicate. People who live there know that they can ask the manager and staff any questions they want. One person has moved into the home since the last inspection. His file was checked. It contained records of a full assessment carried out by the home and a lengthy period of introduction. The manager had obtained as much information as she could about the individuals needs from health and social care professionals and then carried out her own assessment to make sure the service would be able to meet his needs. The person who was interested in moving in was invited to come for meals, spend time with the other people who live in the home and to have some overnight stays, before he was invited to move in. Then there was a trial period during which he got the chance to find out if the service could meet his needs and if he would enjoy the lifestyle it offered. He accepted the offer of a permanent place, after discussions between everyone involved. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have care plans that explain what they need and want. People are encouraged to make choices and to lead full lives, with support to protect them from harm. The differences between people are respected. Evidence: Three people live in this home. Two were out on the day of the inspection, but completed survey forms to give their views about the service. They confirmed that they make decisions about what they do each day and that the manager and staff listen to and act on what they say. One person was at home and he talked to the inspector. He explained that he chooses how he spends his time. He said: It is very pleasant here. The inspector also looked at care plans and other records. They included assessments of the risk for individuals in leading full and independent lifestyles and instructions for staff on how to minimise risks. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The records showed that two people are able to come and go as they choose without staff support, but know they must let the home know when they can be expected back. One person does the things he wants and goes out regularly, with staff support. People who live in this home are happy with the service and the support they get to do the things that they want to. Each person has a person-centered plan that is based on his assessed needs and the way he wants to live his life. So each persons days are spent differently and their preferences are respected. A carer said: Everyone is treated as an individual, we cater for them on a one to one basis. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are involved in the activities they enjoy and do the things they want to in the home and the community. Evidence: The three people who live in this home lead different life styles that reflect their preferences. Two people have an individual programme of activities. One person gets one to one staff support to work as a landscape gardener, and enjoys various hobbies and crafts in the home, like painting. Another person attends a day centre three days a week, and he goes out to meet a friend for a meal and to go shopping in town at weekends. The third person prefers to spend most of his time in or close to the home. He likes to talk to staff, watch television or read. He enjoys a smoke in the homes pleasant courtyard garden. He occasionally goes to visit friends who live nearby in a sister home or to the local shop. He said I have a nice quiet easy life. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The home also organises social activities, trips and holidays that people want. One person had a holiday in Blackpool in the Autumn and two are going to Scarborough in June. The people who live in the home have good relationships with other people in the local community, including the neighbours. People choose what they want to eat and when. Each person can make himself a drink or snack when he wants to and one person likes to be involved in preparing meals. The home has a cosy dining room, where people can eat together. Or they can eat in their rooms if they prefer. The people who live and work in the home regularly go out together for meals to celebrate special occasions. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the support they need in the way that they prefer and their health care needs are met. Medication is handled safely. Evidence: The home has policies, procedures and facilities to enable peoples health care needs to be met safely and with as much independence and dignity as possible. Peoples care plans have details of their health and social care needs and how much help they need from staff. Staff cooperate with individuals and other professionals to promote independence and healthy lifestyle choices. A social worker commented on how staff at the home are always well informed about the needs of people who live in the home and communicate appropriately. She said Whenever I phone up they are very helpful. Staff receive training on the safe handling of medication and other health related issues, including infection control, dementia and diabetes. This training was up to date at the time of the inspection. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Contact with health professionals, and any advice given, is recorded carefully in peoples personal files. People attend medical appointments, with support if required, and visiting professionals see them in the privacy of their own rooms. The home encourages people to manage their own medication. One person who lives in the home has diabetes and he administers his own insulin. The staff enable him to do this by ordering and safely storing his medication and providing a bin for the disposal of needles. Clear records are kept. Another person manages his own medication completely, collecting his own prescriptions and keeping it in a locked cupboard in his room. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to express their views about this service and know that they are taken seriously. The home has policies and procedures that protect people from harm. Evidence: The home has a complaints policy and procedures. The people who live in the home get information about how to make a complaint in the service user guide. But there have been no complaints in the last year. This is a small service and the manager sees the people who use it regularly, they know her and can talk to her about anything they are concerned about. So peoples concerns are usually sorted out without them having to make a complaint. The manager and staff also asked peoples views on a daily basis and there was evidence from records and interviews that peoples views are taken seriously. One person who uses this service said : I have nothing to complain about. The home has a safeguarding policy that gives staff clear guidelines about what they must do to keep people safe. They have been reviewed in the last year. This is good because the manager knows that the homes guidelines fit with the policies of the local authority, which is the agency that has the lead responsibility for ensuring that all services in the area work together and share information to keep people safe. Staff get regular training so that they know how to recognise if someone has been or Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: could be at risk of harm, through abuse or neglect. Staff also learn what to do if they are told or suspect that someone has been harmed. At the time of the inspection the training records showed that this training was up to date. The home also ensures that staff are kept informed about changes in the law that help protect people and promote their rights, for example staff recently had training on the Mental Capacity Act and Deprivation of Liberty guidance. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and comfortable environment that matches their needs and lifestyles. Evidence: Cranbourne House is on a busy, residential street, within walking distance of the town centre and local community facilities. It is on a bus route and there is free parking on the street nearby. The home is a large Victorian end terraced house, with a sheltered courtyard garden where people can sit. It is well decorated and maintained, with many original features preserved. But it has modern facilities, like central heating, a well equipped kitchen and a choice of bath or shower, for the comfort and convenience of the people who live there. The records checked showed that all equipment is maintained properly by qualified, registered contractors. Each person who lives in the home has a double sized room, large enough to provide bedroom space and a sitting area if they choose. The rooms are individually decorated and furnished to suit their occupants. People can watch television in their own rooms or in the communal lounge. The bedrooms do not have en suite bathrooms or toilets, Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: but the home has enough shared facilities for the three people who live there. The home has two bathrooms upstairs. But the only toilet on the ground floor is in a storage area and therefore only used by staff. This means that visitors who cannot climb stairs do not have access to a toilet and that only people who are able to climb stairs several times a day can live there. The home is clean and hygienic and the manager and staff are aware of the latest guidance from the government on infection control. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have the skills required to meet peoples needs. Evidence: Interviews with the manager and staff, comments on surveys and training records all showed that the staff have the training and skills required to meet peoples needs. New staff get basic training so that they know how to care for people safely and respect their rights. There is an annual training programme for all staff in the core areas they must know about and it offers additional training for staff to follow their specialist interests. At the time of the inspection five of the six staff already had achieved the recommended National Vocational Qualification in Care at level two or above and one was about to complete it. The manager ensures that she is kept informed of training offered by the local authority and the health trust. She organises specific work-related training within the home for the staff team. Staff also have regular one to one meetings with a manager. This is when they can discuss their training needs and any help or guidance they require to improve the way they work. Records showed that the home is careful to carry out checks on new staff to make sure Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: that they have nothing in their backgrounds that mean they are unsuitable to work in a care setting. The recruitment process includes police checks and references from previous employers. There are currently six people employed to work in this home. They are all white British and five are women. The three staff who returned surveys identified themselves as straight or heterosexual. This means that the differences amongst the staff team are not as great as the diferences amongst the people in the local community. But all the people who live in this home are white British men, who are over fifty. Staff attend the local college to complete their National Vocational Qualification in Care. This includes training on Equality and Diversity issues. A carer said that she had found this very worthwhile and it had raised her awareness of the importance of understanding and respecting the differences between people. The home has an equal opportunities policy that states that it welcomes applications from people irrespective of their race, gender, age or disability. This shows that the provider wants to treat people fairly and to make sure that no-one who would make a good carer is put off applying for a job because they do not feel that they would be welcomed. The policy statement should be extended to include reference to sexual orientation and belief. This is to encourage applications from people who are not heterosexual or who are transgender and people who have beliefs that are different to the majority of the population. The home has a stable staff team. There have been no changes in staff in the last year. This means that the people who live and work in the home know each other well. The staff who returned surveys were all very happy with the support they get to do their jobs. One person interviewed said Here its like an extended family. We have close relationships with the people we support. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well-managed and run in the best interests of the people who use the service. Their health, safety and welfare are protected and promoted. Evidence: The manager has run the home since it opened. She has the recommended qualifications and relevant experience to run the service. She is supported in her role by her daughter, who manages another home nearby and deputises for her. This ensures continuity in management practices and in the ethos of the service. The managers daughter also has relevant management qualifications and experience. All the comments received about the way the home is run were positive. One person who uses the service wrote: This home makes me happy. A carer said The managers are very approachable and flexible. The home does not yet have a formal quality assurance system but the management team are hoping to introduce one. The managers and staff talk to people everyday and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: ask them their views individually. There are also regular residents meetings. The manager said We have a fairly informal open door policy. We have regular residents meetings but individuals can also approach any member of staff. A social worker said: The person I know who uses this service cannot praise it enough. The home has policies and procedures that protect and promote the health, safety and welfare of people who live and work there. The manager carries out regular checks to make sure that these rules and guidelines are followed. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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, Care Homes 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 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 1 1 The home should offer information in alternative forms for people who do not read written English, for example in simpler language and with pictures or on audio tape. It should also let people know that it get provide the information in other languages and Braille. This is to let people know that it welcomes people with different communication needs and preferences and from different communities and backgrounds. The date that policies and procedures are reviewed should be included on the documents. This is so that staff know that they are consulting recent relevant guidelines and the provider is reminded about when it is time to review them to check that the details are still relevant and that they include changes in law or recommended good practice. The home should develop its systems for assuring the quality of the services it provides by systematically seeking the views of people who use the service, their representatives and health and social care professionals. This information should be recorded as well as the information gained through informal consultation. It should form the basis of an annual plan for developing and improving the service. 2 23 3 39 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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. 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