Inspection on 17/03/06 for Carr Croft Care Home

This inspection was carried out on 17th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carr Croft Care Home 19/08/08

Carr Croft Care Home 21/02/08

Carr Croft Care Home 12/09/07

Carr Croft Care Home 25/01/07

Carr Croft Care Home 03/08/06

Carr Croft Care Home 13/12/05

Similar services:

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Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Carr Croft Care Home Stainbeck Lane Leeds West Yorkshire LS7 2PS Lead Inspector Catherine Paling Unannounced Inspection 17th March 2006 09:15 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 Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Carr Croft Care Home Address Stainbeck Lane Leeds West Yorkshire LS7 2PS 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) 0113 2782220 0113 2782220 Carrcroft Care Home Limited Care Home 28 Category(ies) of Past or present alcohol dependence (1), registration, with number Dementia - over 65 years of age (1), Old age, of places not falling within any other category (28) Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The places for DE(E) and A are specifically for the named service users Date of last inspection 13th December 2005 Brief Description of the Service: Carr Croft is a large converted Victorian house, providing personal care for 28 service users over pensionable age. There are no restrictions with regard to sex or religion. The garden area to the front of the house has yet to be landscaped following the extension. Residents will have access to this area and seating will be provided. The number of registered places at the home has recently increased with the completion of the building works, which have been carried out to a good standard. Refurbishment of the existing building has yet to be finished before the final increase in the number of registered beds is complete. Accommodation is currently provided in single and shared rooms. Some of the shared rooms have en-suite facilities, as do the newly completed bedrooms. Communal areas are on the ground floor, with a large lounge/dining area; a smokers’ lounge and other seating areas. The home is situated close to the local amenities of Meanwood. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) is required to carry out a minimum of two inspections of a care home in a twelve-month period and this was the sixth visit for the year 2005/06. In addition to the inspection visits there have been visits to monitor the progress of the building works and refurbishment. This was an unannounced inspection carried out by one inspector who was at the home from 09:15 to 16:16. Reports of previous inspections are available at the home and can be accessed on the Internet at www.csci.org.uk The main purpose of this inspection was to make sure that the home provides a good standard of care for the service users and to assess progress on meeting any requirements and recommendations made at the last visit. The methods used at this inspection included a tour of the building; looking at case records and other documents; as well as talking to staff, service users and the manager. As part of the inspection process comment cards were provided to the home for service users and relatives. At the time of writing the report none had been returned. The building works have almost been completed but final registration of the new upstairs bedrooms depends on the installation of a stair lift and completion of the refurbishment of the existing building. The places for DE(E) and A are specifically for the named service users who no longer live at the home. The certificate of registration will be re-issued to reflect this. What the service does well: There is a clear staff commitment to caring for the residents and there is a good rapport between staff and residents. Visitors are made welcome at the home. The pre-admission assessments are carried out by the manager in detail and include information from other healthcare professionals. The home addresses the initial ‘settling in’ period of residents at the home by means of a care plan that notes any concerns that may arise during the first few months at the home. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Care plans still do not provide specific and detailed instructions about the care needs of the residents and further work needs to be done in this area. The manager also needs to work at supporting other care staff to develop their skills in writing care plans. Some residents were bored and there was a lack of stimulation. There must be a development of activities to interest and stimulate the residents. In addition the manager and her staff need to work at making sure that all the residents are supported and encouraged to make choices in their everyday lives. These choices must be clearly documented in records. The policies and procedures must be finalised and made available to staff and residents. All residents must be provided with a written copy of the complaints procedure. The manager must make sure that all complaints are properly documented and that there is clear evidence of how they have been responded to. The ancillary support provided to care staff must be improved over the sevens day period. It is not acceptable that the deputy manager and the manager are having to regularly cook at weekends. The manager has made application to be registered as manager with the CSCI. She has yet to undertake a suitable, management qualification to assist her in developing her role as manager of the home. Problems were identified with the hot water and heating system. The manager shared this issue of serious concern with the provider at the inspection. A letter detailing these concerns was sent to the provider following the inspection. The provider has taken steps to address the concerns and this will be followed up. Requirements and recommendations appear at the end of this report. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 7 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. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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 the following standard(s): 3. (Standard 6 not applicable). All residents have their care needs assessed before they are admitted to the home. EVIDENCE: The manager carries out pre-admission assessments for all residents prior to admission to the home. One assessment was seen for a recently admitted resident and contained some good detailed information. Information was also obtained from other healthcare professionals involved in the care of this particular resident. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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. The lack of detailed instructions in the care plans provides the opportunity for residents’ care needs to be overlooked. EVIDENCE: A small number of care records were looked at to assess progress in the development of the care plans since the previous inspection. There has been limited progress however the information within care plans still does not provide sufficient detailed instruction about the care needs of residents. For example, the records for one resident included two care plans. One of these was to address his initial moving into to the home and the support he needed to settle down and the other was concerned with his indwelling catheter. The ‘welcome’ care plan was no longer relevant as the resident had been at the home for over 6 months. The catheter management plan stated ‘encourage fluid intake’ without detail of what this should be or how it would be monitored; the other instruction was to ‘empty regularly’ with no explanation of how often the catheter bag should be emptied. There was no other detail about the management of an indwelling catheter. There were no detailed instructions on the support this resident might need with any of his other dayto-day needs. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 11 There were no care plans to address the social and leisure needs of residents and no night care plans. A requirement has been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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 and 14. Overall residents exercise choice in their everyday lives. However, the manager needs to make sure that this choice is consistent for all residents. There was a lack of stimulation and some residents were bored. EVIDENCE: There was a pleasant atmosphere in the main lounge/dining room. Residents were sitting in small groups chatting; reading newspapers or watching the television. There was some friendly banter between the staff and the residents and there seemed to be a good rapport between them. There is a designated lounge for smokers, which also has a television. There was some evidence of choice with one or two residents still in bed late morning and one having a late breakfast at 11am. However, the preadmission assessment for one resident stated that she was not an ‘early riser’, despite this the daily records indicated that this lady had some continence problems and when she needed changing at 06.00 she was got up and dressed rather than made comfortable and put back to bed. Visitors were made welcome at the home at anytime and some residents were taken out by their visitors. Overall there was a lack of stimulation for residents with no planned activities and no activities organiser. Two residents Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 13 commented that they got fed up ‘sitting doing nothing’ and one said that she just spent her time ‘looking out of the window’. The environmental health officer had inspected the kitchen recently and had not raised any major concerns. On the day of the inspection there were some issue that were shared with the manager. The kitchen door, which is a fire door and should be kept shut, was wedged open; the fly nets at the windows were torn, this has been noted at previous inspections. The kitchen is small and staff belongings on the side further hampered the available workspace. A requirement and recommendations have been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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 and 18. The lack of recording of complaints and the absence of available complaints and adult protection procedures for residents provides the opportunity for concerns to be overlooked. EVIDENCE: The complaints procedure is included in the draft policies and procedures, which have yet to be finalised. In the meantime, residents are not provided with written information about how to make a complaint. The manager said that she had not recorded any recent complaints. However during the course of the inspection it transpired that residents had complained about the lack of hot water. There was no record at the home of any action taken with regard to this serious issue. There are no in-house procedures for staff to follow with regard to adult protection. The local authority multi-agency procedures for the protection of vulnerable adults were available. Staff need to be provided with local contact numbers for help and advice should such a situation arise. Requirements have been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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, 21, 22, 23, 24, 25 and 26. The extension has been completed but the upper floor is not in use. The passenger lift does not serve this area and a stair lift has yet to be fitted. Refurbishment of the existing building has not been completed. The hot water and heating provision is not adequate placing residents at potential risk. EVIDENCE: The work on the extension had been completed internally. The grounds had yet to be cleared and made safely accessible to residents and visitors. On the day of the visit workmen were removing the ramp to the temporary entrance. Other outstanding work yet to be completed is the full refurbishment of the original building and the installation of a stair lift to facilitate access to the first floor part of the extension. The passenger lift does not access this area. The final registration of the additional bedrooms depends on the completion of this work. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 16 The bathrooms in the new part of the building have been completed to a high standard but appear rather clinical. The addition of window blinds and bathroom cupboards and mirrors should be considered. The new en-suite bedrooms have been completed to a high standard. However some of the existing shared rooms do not allow for each resident to have a full set of furniture. For example, there is only one wardrobe and one easy chair in one small shared room. The provider should consider the suitability of these rooms to be shared. There is a serious problem with the hot water provision, which is longstanding. Some residents said that since their admission 6 weeks ago they had only had hot water on two occasions. The manager said that this had been a problem since she took up post in July 2005. Staff had been carrying hot water from the kitchen. This is clearly an unacceptable situation. Of further serious concern was that some radiators in bedrooms, lounge areas and on corridors remain unguarded and were found to be dangerously hot with a surface temperature far in excess of 43°C. In the smoking lounge the extremely hot radiator had a plastic chair pushed up against it, which was itself too hot to touch when moved away from contact with the radiator. In the new build the metal radiator guards were ineffective as they were too hot to touch, namely in one bedroom and in the dining area. Conversely, some corridor radiators in the original building were cold. The manager spoke directly with the provider during the inspection. These serious concerns were put in writing to the provider following the inspection requesting an action plan with timescales of how these problems would be addressed. There were some concerns with regard to the control of infection, which were shared with the manager. Soap and paper towel dispensers have yet to be fitted throughout the building. Where they had been fitted, some of the dispensers were empty. In the staff toilet there were no paper towels and a hand towel was in use. Some curtains in the refurbished rooms were too short and one room was without curtains altogether. Requirements and recommendations have been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 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): 27. Overall there are sufficient care staff to meet the needs of the residents. The lack of adequate ancillary support for the care staff places residents at potential risk when care staff have to carry out non-caring duties. EVIDENCE: The duty rotas indicated that overall there were sufficient care staff on duty. The ancillary staff situation remains unsatisfactory in that one of the carers continues to be assigned to cooking duties with the manager and deputy manager covering the kitchen on her days off. Care staff are also responsible for the evening meal, laundry duties and for covering any shortfalls in the domestic cover. The number of residents at the home has increased greatly since the beginning of the year, with additional bedrooms having been registered, and proper ancillary support for the care staff is essential. A requirement has been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 18 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): 31 and 38. The manager works hard to provide the staff with clear leadership. However, there are some practices that do not promote the health, safety and well being of the residents. EVIDENCE: The manager has made application to the CSCI to be registered. The process has yet to be concluded. The manager has been trained as a nurse and this is her first manager’s role. She has yet to register to undertake a National Vocational Qualification at level 4 in management. During the course of the inspection some health and safety issues were identified in addition to the problems with the heating and hot water referred to earlier in this report. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 19 Several doors were wedged open, including the kitchen door. If there is a need to keep a bedroom door open then proper arrangements must be made, in consultation with the fire officer. Several fire extinguishers were overdue for maintenance. The manager left a message for the contractor at the time of the inspection. There is a flat on the third floor of the building, which is currently being used for storage. Several combustible items were seen in the lounge area. There was no smoke detection here and the door did not shut effectively. The sprinkler system does not extend to this area. It was observed during the inspection that the call system could not be clearly heard throughout the building. This could lead to a delay in staff response time. Requirements have been made. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 20 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 1 2 2 2 3 3 2 1 2 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 2 Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement Care plans must set out in detail the action, which needs to be taken by staff to ensure that all aspects of the health, personal and social care needs of the service users are met. The plan must be drawn up with the involvement of the service user, recorded in a style accessible to the service user; agreed and signed by the service user whenever capable and/or their representative. The care plans must be reviewed at least monthly. The provider must consult with the residents about their social interests and develop a programme of activities providing interest and stimulation for the residents. The provider must make a written complaints procedure available to all residents. There must be written guidance for staff on how to receive and handle a complaint. Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 22 Timescale for action 31/03/06 2. OP12 16(2)(m) & (n) 29/06/06 3. OP16 22 09/05/06 4. OP18 13(6) 5. 6. OP25 OP25 23(2)(j) 23(2)(p) 7. 8. OP27 OP28 18 18 9. 10. OP31 OP33 9 24 11. OP38 23(4)(a) 12. OP38 23(4)(c) 13. 14. OP38 OP38 23(4)(a) 13(4) There must be adult protection procedures available at the home that link into the local authority procedures. The provider must make sure that there is an adequate supply of hot water in the home. The provider must make sure that heating that is suitable and safe for residents is provide throughout the home. Monitoring systems must be put in place to ensure that ancillary staffing levels remain adequate. NVQ training must continue for care staff to ensure that the target of 50 trained members of care staff is reached by the end of 2005. The manager must obtain a relevant management qualification as soon as possible. Effective quality assurance and quality monitoring systems, based on seeking the views of service users, must be implemented to measure success in meeting the aims, objectives and the statement of purpose of the home. Policies and procedures must be reviewed to ensure staff have access to relevant and accurate information. (previous timescale of 1/04/05 not met) Doors must not be wedged open. If doors are needed to be kept open then suitable and safe arrangements must be made. The provider must make adequate arrangements for the maintenance of the fire extinguishers. The provider must fit fire detection in the third floor area currently being used for storage. The call system must be audible DS0000066259.V285223.R01.S.doc 09/05/06 26/04/06 26/04/06 12/05/06 01/08/06 30/09/06 31/03/06 09/05/06 08/05/06 05/05/06 08/05/06 Page 23 Carr Croft Care Home Version 5.1 throughout the building. 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. 2. Refer to Standard OP15 OP14 Good Practice Recommendations The fly nets at the kitchen windows should be repaired and the insectoflash kept switched on. The manager should make sure that the wishes of residents are taken into account by staff and that any arrangements about care issues are clearly documented and communicated to all concerned. Consideration should be given to making the bathrooms less clinical in appearance. The provider should review the suitability of the shared rooms for occupancy by two residents. Soap and paper towel dispensers should be fitted throughout the building in the interests of infection control. Two signatures should be recorded for all transactions involving residents’ personal allowances. 3. 4. 5. 6. OP21 OP23 OP26 OP35 Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Carr Croft Care Home DS0000066259.V285223.R01.S.doc Version 5.1 Page 25 - 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. 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