Inspection on 19/12/05 for Carranmore

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Carranmore 14/10/08

Carranmore 14/09/06

Carranmore 14/07/05

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 218 Warwick Road Carlisle Cumbria CA1 1LH Lead Inspector Liz Kelley Unannounced Inspection 19th December 2005 16:00 Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 Carranmore DS0000022570.V278609.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 Adults 18-65. 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. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Carranmore Address 218 Warwick Road Carlisle Cumbria CA1 1LH 01228 514180 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) carrranmore@croftland.plus.com The Croftlands Trust Mr Peter Cork Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6) Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 6 residents to include: up to 6 residents in the category of MD (Mental disorder excluding learning disability) under the age of 65 years of age. up to 6 residents in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age) Date of last inspection 14th July 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 is 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. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out in the afternoon and five residents were at home, with one member of staff and the manager. The home had successfully moved back into the property after living in temporary accommodation for over 10 months due to serious flooding of the city centre. This inspection concentrated on speaking to resident’s about their experiences and how they were settling. Discussion took place with the manager to see that all the basic checks had been carried out prior to moving back in. Staff and residents were having a period of settling into new routines and back into the house. 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 DS0000022570.V278609.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): Standards 1, 2 and 4 were assessed and met at the last inspection. EVIDENCE: Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): 9 The home had developed a good balance between risk-taking and a duty of care, and much of the dialogue with residents is around rights, choices and developing positive coping strategies. EVIDENCE: Residents are treated very much as individuals and their rights and needs respected and addressed. Any restrictions to individuals rights to ensure wellbeing or safety were appropriately consulted upon and consent given by the individual. Contingency Care Plans were identified as an example of good practice in ensuring appropriate response in emergency’s and at times of crisis. The Home exceeded the standard by: comprehensive computer systems for recording daily notes and monthly reviews; which in turn informed regular multi-disciplinary meetings; these plans included individualised contingency plans with indicators in changes in behaviour that would trigger staff to seek further advice or putting agreed strategies in place. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): 13,15 and 16 Personal development and making informed decisions is a key feature for individuals and the staff team are skilled at enabling residents to make these choices. EVIDENCE: Residents were supported to maintain and develop relationships with the community and were in contact with relevant professionals, such as community psychiatric nurses, to assist in developing their social skills. Residents were observed interacting in a positive manner with staff and other residents. There was lively conversation and an interest in the welfare of others in the home. Family contact is indicated in each persons individual plan and staff were knowlegble about the extent of this contact. Staff were also supportive of the family and relationship dynamics for each person. Where, appropriate family were encouraged to visit and arrangements are made to allow privacy on visits. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): 20 Health care issues are well managed and residents are supported to make informed decisions. EVIDENCE: Residents spoken to felt staff were approachable and were helping them to achieve greater stability and promote their mental well-being, and felt this support was offered at the right levels, without being too intrusive. The home encouraged and supported self-medication by residents and undertook thorough risk assessments. This was an example of good practice and measures were noted to put in place if problems arise with self medication. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 The home has a satisfactory complaints system with residents being able to express their views on the home, and these being acted upon. The home has good systems in place to protect the rights and well-being of residents. EVIDENCE: Residents were observed freely expressing opinions on the home to staff. Residents said that they would feel able to speak to any of the staff and approach the manager with any issues they had. The Home has induction training that covers adult protection issues and the various forms of adult abuse. Staff also have a good knowledge of mental health and the various strategies to support residents. The home has established working relationships with Community psychiatric nurses, psychiatrist and mental health social workers and frequently make referrals and seek advice on residents being supported at the home. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 The home has been completely refurbished to high standards and residents were very pleased to be back home. EVIDENCE: Every room in the house has been refurbished and opportunities have been taken to improve areas, for example the lay out of the kitchen. The fire officer had visited prior to moving back and had made one recommendation to install strips around fire doors. The manager will contact Commission for Social Care Inspection when this work has been carried out. The downstairs office has been temporarily used as a residents bedroom while they recover from an operation. Residents spoke of preferring this house to the temporary one and particularly enjoyed the central location. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 and 35 were assessed and met at the last inspection. EVIDENCE: Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 Residents benefit from a service that is well-run by the manager and by the systems of the organisation, which ensure that residents are central, and their views are valued and acted upon. EVIDENCE: Staff and residents spoken to confirmed that they felt that the atmosphere in the home was relaxed and supportive. A newly introduced Quality Assurance system ensures that residents views are listened to and acted upon. From information gained from residents, staff and Community Psychiatric nurses and from documentary evidence the manager was judged to be competent and effective in managing the Home. The administrative systems within the home were found to be up-to-date and in good order, ensuring the home was run in an efficient and effective manner. Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 4 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X X X 3 X X 3 X Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 Page 16 YES 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 YA24 Regulation 24 Requirement The home must comply with Fire officer safety requirements to fit seals to fire doors Timescale for action 15/02/06 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 YA20 Good Practice Recommendations Staff should receive formal medication training Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 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. Extracts may not be used or reproduced without the express permission of CSCI Carranmore DS0000022570.V278609.R01.S.doc Version 5.1 Page 18 - 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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