Inspection on 14/07/05 for Carranmore

This inspection was carried out on 14th July 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

Carranmore 14/10/08

Carranmore 14/09/06

Carranmore 19/12/05

Carranmore 19/01/05

Carranmore 05/08/04

Carranmore 23/02/04

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

CARE HOME ADULTS 18-65 Carranmore 7/9 Parkside Belah Carlisle Cumbria CA3 9SA Lead Inspector Liz Kelley Unannounced 14 July 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Carranmore Address 7/9 Parkside Belah Carlisle Cumbria CA3 9SA 01228 514180 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) The Croftlands Trust Peter Cork Care Home 6 Category(ies) of MD - Mental Disorder registration, with number MD(E) - Mental Disorder, over 65 of places Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experiened manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 6 service users to include: up to 6 service users in the category of MD (Mental disorder excluding learning disability) under the age of 65 years of age. up to 6 service users in the category of MD(E) (Mental disorder excluding learning disabiliity or dementia over 65 years of age) 3. The home may operate at 7/9 Parkside, Carlisle from 20th January 2005 to 31st July 2005 whilst repairs and refurbishments are carried out due to flood damage, after which it will move back to Carranmore, 218 Warwick Road, Carlisle. The organisation must apply to Commission for Social Care Inspection for a variation whch must be approved before moving back. This condition will be reviewed by CSCI and the provider prior to 31st July 2005. Date of last inspection 19 January 2005 Brief Description of the Service: Carranmore is run by The Croftlands Trust, a non-profit making organisation, which runs a number of residential and community based services in the County for people with mental health problems.The Home was registered to take up to six people with Mental health problems. Carranmore accommodates up to 6 people who have, or who have had, difficulties in maintaining aspects of their mental health.The accommodation provided was currently based at 7/9 Parkside, due to flooding of Carranmore. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over the afternoon and teatime period and all five service users were at home, with one member of staff. The home was still relocated to 7/9 Parkside after serious flooding in the city centre of Carlisle and Carranmore will probably not be repaired until late autumn. The homes registration certificate had been amended to cover registration at Parkside until December 2005. What the service does well: What has improved since the last inspection? 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. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4 The home has a good track record of service users successfully settling which is aided by: clear information available to prospective service users; assessments gained from relevant professionals and plenty of opportunities to visit and have trial stays in the home. EVIDENCE: Community care assessments were available for all residents and care plans expanded upon these to ensure that care needs could be met living at this home. There was a clear admission procedure to the home, which included trial visits and seeking the views of other residents to ensure a successful placement. Evidence indicated that all referrals to the home were agreed by the Carlisle Adult Community Mental Health Team and on an enhanced care programme approach, including a risk assessment, as recommended by the Mental Health Act. One service users spoke of their own introduction to the Home, and had been particularly pleased with the caring attitude of the staff and support to maintain contact with their family. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 The home had well written, clear care plans, which ensured residents health, and social care needs were met in a way that promoted their privacy and dignity. EVIDENCE: Care plans were individual to each resident and reflected each persons interests and lifestyle which led to individualised weekly programmes and day services. One resident discussed their plan and the levels of support that she received from the staff. She stated that she had gained in confidence since entering the home and professional comment cards referred to increase in mental stability since living at the Home. The home had devised well thought out contingency plans which gave clear advice on steps to take if a persons mental health deteriorated. This ensured that service users were kept safe and received professional clinical support when needed. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,17 Staff were committed in supporting residents to lead interesting lives engaging in different leisure activities, individual hobbies and holidays. Residents were involved in preparing and choosing healthy, good quality meals which promoted the development of new skills and encouraged healthy lifestyles. EVIDENCE: The home’s family style of living encouraged residents to engage socially with each other, and with the staff team in an informal and relaxed way. Residents were given opportunities to follow individual interests and residents spoke of enjoying a recent holiday. Menus were examined and found to be well-balanced and healthy; and residents all stated that they enjoyed the meals. Healthcare plans identified specialist dietary requirements and accordingly, some residents were following low fat diets. Encouraging cooking skills and choosing healthy options were demonstrated in care plans and records. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis and this includes all aspects of a person’s mental well-being. EVIDENCE: Staff were observed giving appropriate sensitive responses as they supported and cared for service users. Service users health care needs were thoroughly documented and reviewed. Service users were registered with a GP of their choice and had access to other members of the Primary Health Care team. A consultant psychiatrist comment card stated the home was “excellent, and communicated clearly and worked in partnership”. One service users had been referred for additional equipment to maintain their independence from an Occupational Therapist. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This section was not assessed but will be covered on the next unannounced inspection. EVIDENCE: Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Parkside was providing satisfactory temporary accommodation. EVIDENCE: The staff team successfully refurbished Parkside from top to bottom and made it a comfortable and habitable home. This was a huge task and involved purchasing the following in a matter of days: new carpets throughout, beds, linen, towels, lounge and dining room furniture, fridge/freezers, washing machine/drier, microwave and all kitchen utensils, pots and pans. Office equipment had also been purchased. The homes original PC hard drive had been rescued and care plans and all service users details were available in this format. A gas and fire safety check had been carried out. The Fire alarm system and fire extinguishers were up-graded, and additional risk assessments were in place due to some fire doors not being to required standards. The homes medication cabinet had been fixed to the wall. Each person had an individual bedroom. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35, One of the homes strengthens is the stable, experienced staff team who proved continuity and had a good knowledge of service users needs and support services. Staff are provided with a good range of training opportunities by the Croftlands Trust to assist them in supporting people with mental health problems. EVIDENCE: Staff demonstrated a good awareness of the needs of service users, respecting their dignity at all times. A good rapport between service users and staff was observed. The Croftlands Trust has a training department that provides a rolling programme of mandatory training. Three of the four staff have an NVQ to level 2/3 and the manager was enrolled on the NVQ level 4 with the intention of moving onto the Registered Managers Award. Staff hours are arranged so that there are two staff available at busy times when all service users are at home, for example mornings, evenings and weekends. This ensures that the varied need of service users is being met. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, The home is run in an efficient manner, which is appropriate to a family style of living, and residents are safe guarded by the systems put in place. EVIDENCE: Carranmore is part of an organisation that has systems in place to audit and check both the care provided and the physical aspects of the building and procedures conducted within it. A management visit is carried out at least monthly and new Quality Assurance systems are being trialled to seek views of service users. Administration and paperwork is up-to-date and kept in good order, adding to a smooth running service. Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 3 3 x x x x 3 Standard No 31 32 33 34 35 36 Score 3 x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Carranmore Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 16 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 Carranmore F58 F10 s22570 carranmore v236921 140705 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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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