Inspection on 21/07/05 for 58 Crantock Drive

This inspection was carried out on 21st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 01/12/05

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 Announced 21 July 2005 09:30 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 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 D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 58 Crantock Drive Address Florence Park Almondsbury South Glos BS32 4HG 01454 614941 0117 9709301 admin@aspectsandmilestones.org.uk Aspects & Milestones Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Paula Anne Ralph Care Home for Older People 8 Category(ies) of LD(E) Learning dis - over 65 for 8 registration, with number LD Learning disability for 8 of places 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 8 persons with a Learning Disabilty aged 55 years and over. Date of last inspection 25 January 2005 Unannounced 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 nonprofit 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 Spectrum, 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 to 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 D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted as part of the annual inspection process to examine the care provided, and monitor the progress in relation to the seven requirements and three recommendations from the last inspection that was conducted in January 2005. Prior to the inspection the inspector received a completed pre inspection questionnaire, which provided information about the establishment, policies and procedures, there was information about those receiving a service at the home. Information was also provided about staffing and visiting professionals. Also prior to the inspection the inspector received thirteen comment cards, one from a speech and language therapist, one from a general practitioner, four from relatives and seven feedback cards from those living at the home. Comments from these have been feedback to the management of the home and have been incorporated within this report. The inspection took place over seven hours. During the process four residents, two staff and the registered manager were spoken with. The inspector looked around some of the building and a number of records were examined. Following consultation with the manager and the staff team it was agreed that those living at the home would prefer to be referred to as individuals or ‘ladies’ within the inspection report, rather than service user and therefore this has been reflected within this report. The Commission for Social Care Inspection has produced a leaflet for those living in care establishments entitled ‘Is the care you need the care you get?’; a copy of this was left at the home to be put on the home’s notice board. The inspector also shared with the home information that the Commission has produced in a picture format providing information for those living at a care home as to what work the Commission does, also given were comment cards for individuals produced with pictures in order that individuals can comment on the service and levels of care provided at the home. What the service does well: 58 Crantock Drive is very much ‘home’ to those who are living there, the furnishings and environment are comfortable, the home and the garden are maintained to a high standard. All of those living at the home were very much at ease and relaxed, one of the ladies enjoyed showing the inspector the garden and the plants they had 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 6 planted, another took the inspector to their room to show the décor they had chosen and the craft work they had made, of which they were very proud. All of those living at the home spoke with high regard about the care and attention they receive from staff. It was clearly evident that the manager and the staff team are committed to ensuring that all of the needs of individuals at the home are met, this is done through consultation and observation and previous knowledge and an understanding of individuals through a person centred individualised process. Those living at the home appear to have a good quality life, services are delivered in an individualised way, those living at the home said they were ‘happy’ and ‘well cared for’. What has improved since the last inspection? Those living at the home can be assured that staff employed have been done so following the clear and robust policies and procedure in place within the organisation, the inspector saw that the home has in place recruitment and selection documents. These were available and viewed at the inspection. Those living at the home are better protected should the event of fire occur since the home has introduced a fire risk assessment, which incorporates how individuals would be supported should a fire occur at night. Areas of identified risk for those living at 58 Crantock Drive are well recorded and cover all aspects of daily living and social/leisure activity ensuring their personal safety without limiting individuals preferred lifestyle. Individual’s records are up to date and comprehensive, and are updated on a monthly basis. Also incorporated within care records are photographs identifying individuals and ensuring them better protection. Property of individuals is clearly accounted for due to inventories being reviewed on a regular basis, these are updated and signed. The safety of an individual had been discussed with a general practitioner to determine if they would benefit from the use of hip protectors due to their high level of falls. Clear information is in place in the form of updated policies and procedures, these are provided to staff in order to direct and guide their practice, to ensure the rights and safety of those living at the home. Other areas of improvement since the previous inspection, which are unconnected with any ongoing requirements and recommendations are that the organisation have achieved an investors in people award and the home have received a food hygiene award granted by South Gloucestershire Council 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 7 Environmental Health Department. The home is to be commended for achieving this. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 1, 2, 3, 4 Prospective residents are well supported and are provided with clear information, support and assurance that the home will be able to meet their needs. Their residence in the home is protected by a contract that provides clear information on the rights of the licensee and the organisation. EVIDENCE: There has been one admission to the home since the previous inspection, the manager explained the admission process for this person and explained that the individual visited the home on a number of occasions, that they stayed for a meal and had an overnight and weekend stay at the home. This provided an opportunity for the individual to determine whether they would be happy at the home and if the home would be able to meet their needs. This assessment period provided an opportunity for the home to build a relationship with the individual, to observe their needs and to gather information on how they interacted with others. Information for the new person to the home had been well documented and a care file of information supplied by the individual and other professionals had been established. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 10 The manager said that when a new individual is visiting the home the staff ask for feedback from those already living at the home to ensure compatibility. The inspector spoke with the most recent individual into the home, they said they were ‘very happy’ ‘staff are wonderful’ ‘I am very happy here’, ‘I have many friends’. As well as an organisational Statement of Purpose the home has in place their own mission statement; this was produced in consultation with the staff team and with the individuals who were living in the home at the time. Mrs Ralph explained that the homes statement is based on the service provided at Crantock Drive and outlines that individuals are to be treated with dignity and respect and that staff at the home support individuals to achieve their ambitions by promoting their independence. A member of staff on duty provided clear examples of how the staff ensure dignity and respect of individuals on an ongoing daily basis. The inspector saw that the home has in place a written and costed statement of terms and conditions between the home and individuals living at the home, these are entitled ‘licence agreements’ these were seen to be held on individuals files, all individual’s had a copy in place. These documents had been dated and signed by the individual, and the manager of the home. The agreements in place had been produced by the organisation, all of the information in these documents was consistent for all, however information about costs had been incorporated for each individual. The contracts contained information about individuals financial contributions in order to fund their placement, information included details about an annual increase of which individuals would be notified. Information was in place about any additional costs that individual’s would be expected to pay such as personal shopping and hairdressing. The contract provided information about insurance of personal possessions, and also details of how the home will ensure that individual needs are assessed and reviewed to ensure that services provided are still appropriate. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 7, 8, 9,10, 11 Individual’s health, personal, medication and social needs are well met, recorded and reviewed on an ongoing basis. Support is delivered in a manner to ensure individuals respect and dignity. EVIDENCE: There was clear evidence within care records that individuals are supported by staff in order to make decisions about their lives, that they have been given appropriate assistance and that support had been tailored to the needs of the individuals in order that they can make an informed decision. It was clear that individuals had been consulted and their input within assessment processes had been recorded in care records such as individuals care plan, ‘me’ profiles, person centred plans, client wishes in the event of their death and individual’s preferred routines and choices. Care plans in place contained full detailed information in relation to individual’s own personal history and background, significant dates within their life and the support areas required within their lives in areas such as physical, emotional, communication and vital support. The home has introduced monthly review reports, these had been fully completed for all of those individuals reviewed by 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 12 the inspector demonstrating that a ‘holistic’ review of an individual is undertaken on a monthly basis, monitoring changing needs and tailoring support appropriately. The home has developed comprehensive risk assessments, which have been produced within a risk management framework, without impacting on individual’s expressed choices. At the previous inspection a requirement was made that risk assessments be completed for the most recently admitted individual to the home, this had been undertaken. All assessments had been recently reviewed and those seen included; helping in the kitchen, cleaning, vacuuming and manual handling. The home has worked closely with those living at the home to develop health action plans; those viewed contained clear information on what staff need to know and do in order to keep the person healthy and what services are also required to maintain health and well-being. Each plan is tailored to the communication needs of the individuals and had incorporated the use of pictures and symbols, the plans have clearly defined actions in place that outline the outcomes for individuals. There was a record of visits to the doctor and these were up to date and sufficiently detailed. The inspector saw correspondence from health professionals, including consultants to evidence that advice is sought when necessary from specialists. The inspector saw that support is also accessed from specialist services, when required, examples of this includes ophthalmic care, chiropodist, audiologist, a speech and language therapist and a psychologist. Demonstrating a ‘multi disciplinary’ approach. Written feedback received from the speech and language therapist was that the home communicates clearly and works in partnership with them to ensure individual’s needs are met and that specialist advice they give is incorporated into an individuals care plan to ensure continuity of care. Feedback from the general practitioner who supports individuals in the home is that ‘I have always found the home a pleasure to work with’, ‘the resident’s are exceptionally well cared for’ and that the home was ‘a good example of how residential care should be’. The systems for administration of medication are good with clear and comprehensive arrangements in place to ensure that individual’s medication needs are met. The home uses a monitored dosage system in order to administer medication, the inspector saw that medication no longer required had been well recorded. Medication records contained all of the required information in order to direct staff. Medication profiles were in place which included side effects of medication and indicators of these. The manager provided full information to the inspector on the medication competency, which staff had undertaken, and the review that is undertaken by all staff, their competency is reviewed with them by the manager. Stock medication at the home is well recorded on individual’s medication sheets. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 13 Since the previous inspection there has been an individual who has died, the home supported the others living at the home and escorted them to the funeral, the home also arranged a buffet after the funeral in order that people were able to pay their last respects. This is consistent with good practice. During the inspection the staff present demonstrated an enthusiastic and sensitive approach to individuals and were committed to working in a person centred manner. Staff were observed interacting and supporting those living at Crantock Drive in their preferred routines, promoting independence and offering choice and control. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 12, 13, 14, 15 Those living at the home enjoy a good level of activity and entertainment, individuals are able to exercise personal choice in this area. EVIDENCE: At the time of the inspection two of the ladies were going shopping with a staff member, another person was attending cookery class. In the afternoon all of the ladies went to Thornbury to shop and go to bingo. Two of the ladies told the inspector of the pleasure they had by attending bingo each week and of the friendships they had made with people there. Those living at the home told the inspector about a recent BBQ held at the home, how their family and friends attended. Two of the residents enjoyed a holiday to the Isle of Wight in June this year, two other residents are currently in the process of arranging their summer holiday. Those living at the home told the inspector that they enjoyed visits to and from family and friends and attending parties and clubs such as the ‘Harmony’ and ‘Joshua’ club. A requirement was made at the previous inspection that a risk assessment must be completed for individual’s holidays; this had been undertaken by the home and had incorporated aspects of activity to ensure individuals safety. The inspector saw that the organisation has produced a policy document and an assessment for holidays, the manager said that this would be used in conjunction with the information they had produced themselves. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 15 The systems for individual’s consultation in this home are good with a variety of evidence that indicate that resident’s views are both sought and acted upon. Residents told the inspector that meetings take place on a regular basis and their ideas and suggestions are listened to and acted upon, the inspector viewed minutes of meetings and saw that each persons views had been recorded, each person was listened to and their opinion sought. All of those living at the home who were spoken with during the inspection could not speak highly enough of the care and attention they receive from staff, one lady told the inspector that staff listen and spend time with me, another told the inspector how happy they were that staff help them to go out and shop. Comment cards completed by those living at the home contained positive feedback about the care and attention they receive at the home indicating that they feel safe and are treated with respect. The inspector received four comment cards from relatives and visitors to the home, comments recorded included: ‘I always have found the staff to be friendly and welcoming. I have seen that they have the ladies best interests at heart and are person centred’, ‘ the home is very well run with resident’s happy and relaxed’, ‘staff are always happy to help and ladies are always included in decision making processes’. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 16 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 standard(s) 16, 18 The complaints process in the home is good and there was clear evidence that individual’s views are listened to and acted upon. The risk of individual’s suffering from any form of abuse or neglect is appropriately minimised. EVIDENCE: The inspector saw that within all of the individual’s files was information on how to make a complaint and how individuals would be supported with this. 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 home has in place procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of individuals, this includes a protection of vulnerable adults policy and a ‘Do the right thing’ document. A staff member was asked what their actions would be should they have any concerns over a staff member’s approach and manner, they were very clear on their responsibility to ensure the protection of those within their care and would have no hesitation to report to their line manager. The manager was also asked what would their actions be should they become aware of an abusive situation, Mrs Ralph’s priority was supporting the alleged ‘victim’, maintaining clear records and contacting relevant parties and instigating adult protection protocols. At this inspection a number of individual’s money and cash records were examined, all were correctly accounted for, with receipts in place. The monies held on behalf of individuals are audited twice per day. Mrs Ralph also said that individual’s accounts and the accounts within the home are internally audited 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 17 on an annual basis by the Trust. The inspector is satisfied that the homes practices relating to individual’s money are accounted for and held securely. The inspector saw that all individuals had in place an inventory of their personal effects and belongings; this is regularly checked to ensure it is current. The Commission for Social Care Inspection has received notification of incidents that have affected individual’s wellbeing at the home, the information provided shows that individuals had been supported in an appropriate manner. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 18 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26. Individual live in a well-maintained homely environment home with a high standard of décor and cleanliness. EVIDENCE: 58 Crantock Drive is a spacious care home for older people and is furnished to a high standard; the home is a bungalow and is situated in Almondsbury and blends in with the local community. The inspector did a tour of the home and viewed the large lounge, sunroom, dining area, the kitchen, a bathroom, toilet areas and two bedrooms along with the garden. The garden is fully accessible to all and is well tended and provides a pleasant area for individuals to enjoy. The home is well maintained and at the time of the inspection, clean and odour free. All of those living at the home have access to their personal and communal space. The home has an array of comfortable spaces for shared use, individuals were seen relaxing and making full use of these areas. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 19 There are a number of toilet, washing and bathing facilities provided at the home that are available for individuals use, these are within close proximity to private accommodation. The number of facilities available are sufficient for the numbers of people accommodated at the home. There are individual’s at the home who require support from the staff with their continence needs. The home was clean and tidy and free from odour at the time of the inspection. The inspector saw safe working practices and policies and procedures were in place to prevent the spread of infection. Toilet facilities were seen to have soap and hand towels were in place The home is appropriately adapted to meet the needs of the current group of people. Specialist equipment has been obtained for individual’s following identified need; examples of these include mobility, manual handling equipment, bathing aids and furniture to promote independence and safety. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 The relationships between staff and those living at the home are good, and this creates a warm, supportive, safe environment, which promotes a good quality of life for the individuals living at Crantock Drive. EVIDENCE: There is a core of well-established staff with varying abilities most of which are skilled and experienced to meet the needs of those living in the home. There is a stable staff team, there have been minimal changes in the staff group since the last inspection, agency or bank staff are not required at the home. Each individual has a key worker to support them with the manager being involved with the overall monitoring of individual care. It was clear that staff have developed relationships with individual’s and have worked together with them and others in order to identify the needs of the individual and then support the person in achieving their goals and future aspirations. There was information in individual care plans and essential lifestyle planning information to guide staff to the appropriate level of support that individuals require. Those living at the home can be assured that staff employed have been done so following clear and robust recruitment practices and the implementation of organisational policies and procedures. The inspector saw that the home have in place employment documents for staff, these were available and viewed at the inspection, this included references, completed application form a criminal records bureau check and contracts of their employment terms and conditions. Staff members spoken with were able to demonstrate a clear understanding of 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 21 their role and responsibilities within the team and their own personal role and accountability. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 22 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 37, 38 The manager of Crantock Drive is qualified, skilled and experienced. She is supported by an experienced deputy and a competent staff team. The manager ensures an open and inclusive atmosphere is present in the home which is run in the best interest of those living at the home. A safe environment is provided. EVIDENCE: The manager of Crantock Drive, Mrs Paula Ralph was welcoming and open to the inspection process. Mrs Ralph is a qualified nurse, has achieved a National Vocational Qualification at level four, is a manual handling instructor, an internal verifier for NVQ and facilitates epilepsy awareness training. Mrs Ralph is also mentor for new staff to the organisation and for those undertaking their registered managers award. It appears that she is a ‘standard setter’ and leads by good example. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 23 The inspector spoke with a new staff member whom Mrs Ralph is currently inducting. The staff member is new to the caring profession and told the inspector that they had been well supported by Mrs Ralph and by the staff team at the home. They spoke of treating individuals with dignity and respect, and enabling individuals to make choices within their lives. Clear examples were given of how these principles of care are put into practice within the home. The new staff member told the inspector of the induction they have undertaken which had included; manual handling instruction, first aid and safe use of equipment. The individual was fully conversant with health and safety responsibilities and had received fire instruction. The inspector viewed the organisational policies and procedures in place at the home, these are robust and provide sufficient information in order to direct and guide staff practice. The policies seen were appropriate to the service provided at the home. There were three folders containing policies and procedures, those that were specific to personnel issues, health and safety and the other was service user specific. Those seen included; admission/discharge procedures, emergency disaster plan, security of the home, missing persons procedure and dealing with clinical waste. The manager had reviewed all of the ‘in house’ polices and procedures in March 2005 and had signed these documents. There is an index in place for staff to sign they had read these documents and are aware of the contents. This is consistent with good practice. A recommendation was made at the previous inspection that Aspects & Milestones Trust policies and procedures headings must be updated in order to reflect the title of the current organisation. This has been completed and all documents have/or are under review, this recommendation has been found met. The inspector saw evidence that the home ensures as far as is reasonably practicable the health, safety and welfare of those living at, visiting and working at the home. The inspector saw that the home has in place a comprehensive fire risk assessment; this document covered areas of identified risk within the homes environment. The fire logbook was examined at this inspection; the inspector was satisfied that the home is maintaining regular checks of equipment and that staff are receiving appropriate fire safety instruction Appropriate policies and procedures were viewed by the inspector and included: Control of Substances Hazardous to Health (COSHH) along with Health & Safety Guidelines. Since the last inspection the home has introduced a call bell risk assessment clearly recording whether individuals would request assistance, and if they are 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 24 not able to it is recorded how the home will ensure their safety and will support them. 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 25 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 3 3 3 x 3 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 26 NO Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 58 Crantock Drive D56 D05 S3343 58 Crantock Drive V228833 210705 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection 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. 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