Inspection on 01/12/05 for 58 Crantock Drive

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

58 Crantock Drive 30/01/07

58 Crantock Drive 21/07/05

58 Crantock Drive 25/01/05

58 Crantock Drive 16/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 58 Crantock Drive Florence Park Almondsbury South Glos BS32 4HG Lead Inspector Odette Coveney Unannounced Inspection 1st December 2005 09:30 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 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 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. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 58 Crantock Drive Address Florence Park Almondsbury South Glos BS32 4HG 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) 01454 614941 0117 9709301 Aspects and Milestones Trust Ms Paula Anne Ralph Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 8 persons with a Learning Disabilty aged 55 years and over. 21st July 2005 Date of last inspection Brief Description of the Service: 58 Crantock Drive is a care home that had been initially registered with South Gloucestershire Council and then with the National Care Standards Commission. Since April 2004 the home has been registered with the Commission for Social Care Inspection. This is one of the homes operated by Aspects and Milestones Trust, a non-profit making organisation. It provides accommodation and personal care, but not nursing, for up to eight adults who have a diagnosis of learning disabilities, aged 65 years and over, male or female. The home provides a variety of daytime activities, either by the staff or by day care services provided by Choices for Learning, a day care service that is part of Brandon Trust. The present manager has been in post since 1996. The home is a mature detached bungalow, which has been modernised and extended. It is wheelchair accessible. There are gardens to the front and rear of the property. There is a large lounge and a kitchen/dining room that leads onto a conservatory. There are eight single bedrooms, none of which are en-suite. Two bedrooms are adapted to meet the needs of wheelchair users. 58 Crantock Drive is located in a small residential area next to green belt land to the north of Bristol and is close to the M4 and M5 motorways. There are no shops within close proximity of the home, which has a mini-bus that has been adapted with a tail-lift and a side step to meet the needs of disabled people. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process to examine the care provided, and monitor standards being maintained at the home. The manager was not present during the inspection; staff members on duty were engaging in the inspection process, were informative and positive. Since the previous inspection there has been a new admission to the home. The individual has settled well into their new home and has been supported by those living at the home and the staff team in order to facilitate a smooth transition. What the service does well: What has improved since the last inspection? What they could do better: Individuals living at the home would be assured that the Trust provides a wellmaintained environment in which to live if the Trust gave consideration to the re-decoration of an individual’s bedroom, the individual must be consulted. The security of individual’s medication would be improved if this were kept secure. Please contact the provider for advice of actions taken in response to this 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 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 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3,4, 5 There is a well-established admissions procedure with appropriate information in order that prospective residents may make an informed decision on whether the home is able to meet their needs. Clear contractual arrangements are in place. EVIDENCE: An individual was admitted to the home two weeks prior to the inspection, in place was an assessment that had been completed by the placing care manager prior to the individual being admitted to the home this was undertaken as part of the care management process. A staff member confirmed that they were the individual’s key worker and that a care plan would be completed by the home with the individual following the four week assessment period. The inspectors saw that since the individual’s admission to the home clear information has been recorded by staff at the home. This recorded areas of identified need. Also in place was a health information contact sheet and a profile sheet providing additional information in order to direct and guide staff. The inspector saw that staff had maintained clear 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 9 records on the wellbeing of the individual recently admitted to the home, their level of support and how they had settled at the home. Information given by the individual and staff confirmed that the individual had visited the home prior to admission and also for an overnight stay in order to ensure that the placement was appropriate and for the home to demonstrate that they are able to meet the needs of the individual. Care records and minutes of meetings demonstrated that the needs and wishes of those already living at the home had also been considered. The inspector viewed the licence agreements for two of the individual’s living at the home. Each document had been signed by the individual, their key worker and also a witness. A copy of this document is held on individuals care files. The licence agreement outlines the rights and responsibilities of the individuals, the Trust and the home. The management and many of the staff at the home have worked in the care profession for many years and have a wealth of experience in caring for older people 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 11 The aspirations, health, personal, social, end of life preferences and individual needs are well documented and clearly show how these needs are to be met. Medication systems are well managed and recorded, improvements to security in this area is required. EVIDENCE: Three individuals care records were reviewed at this inspection and it was found that the plans in place had been generated from a care management assessment, each plan incorporated information on how individuals were to be supported in areas of health, personal, mobility and behavioural needs. All care plans seen had been recently reviewed. Staff members spoken with were fully conversant with the information held within individual’s plans and with the support that individual’s required in order to maintain their health and wellbeing. All of those living at the home are registered with a general practitioner. There was a record of visits to the GP and these were up to date and sufficiently detailed. The inspector also saw evidence to confirm that individuals are well supported with their primary healthcare needs such as 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 11 optician, diet and chiropody. All of those that wanted to have had a flu vaccination. There is no-one living at the home that requires pressure area care. The inspector also saw correspondence from health professionals, including consultants to evidence that advice is sought when necessary from specialists. It was clear that support is also accessed from specialist services, when required such as the orthotics department and speech and language therapy. It was evident that the home has established professional relationships with others such as; GP’s, care managers and members of the primary healthcare team in order to work together to ensure that the needs of those living at Crantock Drive are identified and met. The home has also worked closely with individuals in order to complete Health Action Plans, these are written in a person centred way and covered areas such as ‘I feel happy when’. And ‘I need to’ these plans include how I will achieve the Health Action Plan and who will help to achieve. The plans seen had been completed in November 2005 and will be reviewed in December.2005 from the quality of information seen in these plans it was clear that individuals were fully engaged and supported in completing the plan to support them in this specific area. There are procedures and accurate, organised, records in place for the receipt, storage, administration and disposal of medicines. The local pharmacy advisor carries out regular checks of the home’s stock and practices. Upon arrival at the home it was found that keys were in the medication storage cupboard and these remained there for some time until pointed out to staff by the inspector. This is not safe practice, it is required that medication is held securely to ensure the safety of its contents and to ensure that the contents are not available to unauthorised individuals. Three of the ladies medication records were checked, which showed medication had been provided and properly recorded. The home has sought individual’s wishes in the event of their death and specific requests of individuals are recorded. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14 Individuals are able to maintain contact with family and friends and can make choices about aspects, which affect their life. EVIDENCE: On the day of the inspection some of the ladies went to Thornbury to play bingo and meet up with friends, later that evening some of the ladies were going to the BAWA club in Filton to attend a party. Those living at the home are supported and encouraged to maintain contact with friends and family, one individual phones their relative on a regular basis. Most of those living at the home receive regular visitors. Daily, weekly and monthly records evidenced that individuals are well supported to partake in a number of varied activities in the local community as well as social events held at the home. Staff were consistent in telling the inspectors that participation was individuals choice and that individuals are able to refuse to participate if they wish. Records showed that individuals have been supported with short breaks this year, with others going on a ‘tinsel and turkey’ weekend later this month. Other activities, which individuals have enjoyed, have included craft making, cookery, going out for meal and visiting places of local interest. Individuals also told the inspector they enjoyed a 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 13 Halloween party held at the home in October and were looking forward to the festivities over the Christmas period. A staff member spoken with gave clear examples of how individuals are encouraged to exercise choice and control over their lives and some discussion took place surrounding general working arrangements and routines within the home and these are arranged in the best interest of individuals. One individual spoken with gave the inspector examples of their own preferred routines and choices made as part of daily living in the home. The systems for consultation in this home are good with a variety of evidence that indicates that individual’s views are both sought and acted upon. Minutes evidenced that meetings take place on a regular basis and individual’s ideas and suggestions are listened to and acted upon. The last residents meeting was held at the home on November 20th, with all ladies present and their individual views being recorded. Individual’s rooms contained many of their personal possessions such as small items of furniture, ornaments, pictures and photographs. During the inspection staff were observed asking Individual’s for their views and opinions and were encouraged to make choices on aspects that affect their life. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Complaints are handled objectively and individuals can be confident that their concerns will be taken seriously, listened to and actioned. The home does have in place measures to ensure that individuals are protected from abuse. EVIDENCE: A copy of the homes complaints procedure was on prominent display at the home. Information on how individuals are able to raise issues or make a complaint was seen in individual licence agreements, with information including the arrangements for contacting the commission if individuals were not happy with the outcome of a complaint. The complaints logbook for the home was viewed; it was found that reported incidents had been dealt with effectively to the satisfaction of those involved. The last recorded complaint was in May 2005. The logbook identifies and records both formal and informal complaints, which is consistent with good practice. No staff at the home are on the protection of vulnerable adults list. No areas of concern were recorded on care documentation. All of those spoken with during the inspection were positive about the care they receive and said they were happy with no complaints or concerns raised to the inspectors. Relationships with the registered manager and staff are well established. The registered manager has contacted the Commission for Social Care Inspection to inform of incidents that have affected the wellbeing and safety of those living at the home. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25, 26 The home is well managed and safe and the quality of furnishings and fittings in the home is good, providing a warm comfortable and homely environment ensuring individuals needs are met. EVIDENCE: There have been no changes in the services and facilities provided at the home since the previous inspection. The location and layout of the home is suitable for its intended purpose. Crantock Drive is a spacious residential home and is on the whole furnished to a high standard; the home is situated in Almondsbury and blends in with the local community. The home is a bungalow and is appropriately adapted to meet the needs of the current resident group. Specialist equipment has been obtained for individual’s following identified need; examples of these include mobility, sensory aids, bedsides and pressure relieving equipment. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 16 At the time of the inspection a maintenance and repair contractor was on site, staff confirmed that this was part of a regular monthly visit to undertake any necessary general repairs. The inspectors viewed the lounge and dining area, the kitchen, a bathroom and two bedrooms. The home is generally well maintained. In an individuals care file and also through examination of minutes of staff meetings it became clear that the individual had paid over five hundred pounds to have the flooring replaced. Mr Ralph wrote to the inspector on 13th December to inform her that as the individual concerned had adequate flooring in place which had been provided by the Trust and that the resident themselves had made the choice to replace this herself and was supported by the home with her decision. One individual’s bedroom has a border, which has torn off, and the paintwork requires attention. Quotes were seen for the redecoration of the same individuals bedroom. Staff confirmed that these had been obtained in order that the expectation was that the individual would fund the cost of this redecoration himself or herself. Following the inspection Mrs Ralph contacted the inspector and confirmed orally and in writing that this was not the case and although quotes for redecoration had been sought this was solely for information for The Trust. The requirement remains that the Trust considers redecorating the same individual’s room and consults with them on what they would like. Monthly visit reports confirmed what staff told the inspectors, that the main lounge is going to be redecorated in the New Year and that those living at the home would be involved in choosing the paper and colours. The inspector does not expect that the requirement to redecorate an individual’s room delays the redecoration of the main lounge being completed. Lighting within the home is domestic in style and of a good standard, emergency lighting is provided throughout the home, at the inspection the inspector saw that this has not been checked on a monthly basis by staff at the home. The last time the emergency lighting had last been tested by staff was in July 05. Following the inspection the manger provided information that these are checked on a monthly basis and therefore the requirement that this is undertaken was removed and will be further reviewed at the next inspection. A hand test of the water temperature found the temperature was not excessive and was at a safe level, the temperature in the home was warm and comfortable. At the time of the inspection all areas seen were clean, tidy and odour free. All of those living at the home have access to their personal and communal space. The home has a very pleasant rear garden; this was seen to be well tended. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 30 The relationships between staff and individuals are good, and this creates a warm, supportive environment, which promotes a good quality of life for those living at Crantock Drive. EVIDENCE: At the time of the inspection four staff members were on duty. Minutes of team meetings were viewed, these take place on a regular basis and provide a forum for staff to air their views, exchange ideas and set future team goals in order to provide a good service for those living at Crantock Drive. One of the staff members has recently returned to the home following a six month secondment at another home they said that they had enjoyed the experience as the move enabled them to learn more about the management aspects of the care profession. The significance of a National Vocational Qualification is well promoted at the home with seven staff that have achieved a qualification at level three, promoting independence. Three staff are currently being supported to achieve this award. The manager has achieved a National Vocational Qualification at level four in care management, is an assessor and an internal verifier for this process supporting candidates both in the home and in other establishments. There are also a further two NVQ assessors at the home and another is also working towards this qualification. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 18 The atmosphere at the home at the time of the inspection was calm and relaxed with individual’s looking clearly at ease and ‘at home’. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 37, 38 Individuals live in a safe environment run in their best interests. EVIDENCE: The registered manager was not present during this inspection; staff and individuals all spoke with high regard of the manager’s enthusiasm and commitment in providing a good quality service to those who live at the home. The inspector viewed the fire logbook for the home. The home was completing the appropriate checks on the fire equipment and the recording of training, fire drills and the testing of equipment were satisfactory. The inspector saw the fire panel in working order. The home is reminded that fire records must clearly show the names of those staff who have undertook fire instruction in order to clearly demonstrate that all staff have received sufficient fire safety instruction. A fully comprehensive fire risk assessment was in place; this had been reviewed and updated in July 2005. Avon fire brigade had undertaken an 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 20 inspection at the home on 5th October 2005; no issues of fire safety were identified. Risk assessments are in place, these identify the task, hazards and record the safe system of work. Assessments seen were appropriate to individuals identified need and the environment all had been reviewed within the previous six months. Equipment in place for the use of individuals living at the home, including a bath hoist had been service by a contractor on November 1st 2005. 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 21 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 X 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 3 3 3 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X x 3 X 3 X 3 3 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? NA 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. 1 Standard OP19 Regulation 23(2)d Requirement Consideration to be given for the redecoration of a bedroom by the Trust in consultation with the individual. Medication keys must not be left unattended in cabinet Timescale for action 01/02/06 2 OP9 13(2) 01/12/05 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 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 58 Crantock Drive DS0000003343.V265843.R01.S.doc Version 5.0 Page 24 - 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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