Inspection on 25/05/05 for Cragmere

This inspection was carried out on 25th May 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

Cragmere 10/04/07

Cragmere 14/02/06

Cragmere 11/01/05

Cragmere 05/08/04

Cragmere 17/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Cragmere Colne Road Glusburn North Yorkshire BD20 8RB Lead Inspector Chris Taylor Unannounced 25 May 2005 10.30 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 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. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cragmere Address Colne Road Glusburn North Yorkshire BD20 8RB 01535 635678 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) Northern Life Care Ltd t/a U.B.U. Mrs Christine Gleave Care Home only 4 Category(ies) of LD Learning disability registration, with number of places Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/01/05 Brief Description of the Service: Cragmere is registered to provide accomodation and personal care for 4 adults with disabilites. The home is a detached dormer bungalow situated on the main road in the village of Glusburn. There are local amenities and leisure facilites in nearby towns. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. There were two service users at home and four members of staff on duty. Time was spent observing staff support service users and talking to staff about their experiences and training. Some records about service users and staff training were looked at. The inspection took 3 hours including preparation time. 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. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 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 Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 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) none EVIDENCE: Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 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 and 9 Proper arrangements are made to ensure service users needs are met. EVIDENCE: The records of the two service users who were at home were looked at. Information was available about all aspects of the service users lives and specific support was recorded on a step by step basis. The quality of the detail is particularly relevant for those service users who do not communicate verbally. Staff said that although service users are unable to participate in compiling their plan of care, everyone involved is consulted; this includes professionals, relatives and advocates; this ensures that a balanced view is obtained about what is in the best interests of the service user. Areas of risk were recorded and risk assessments and service specifications reviewed regularly. Whilst staff were supporting service users with morning activities, it was clear that the knew and understood service users’ needs. They were patient and reassuring in their approach. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 9 Staff said, and there was evidence in service user records, that the support from the local learning disabilities team is excellent. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 10 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) 12, 13,15 and 16 Service users are supported with their chosen lifestyle EVIDENCE: Two service users were out attending college and a specialist day centre and two service users were at home, although one later went out for lunch and a walk. Staff talked about service users’ needs, how these are met and the challenges service user choice presents particularly with some of the behaviours service users present. Records detailed weekly programmes and identified preferences for leisure and contact with families and friends. Any restrictions in choice and associated risk assessments were recorded. Staff said that service users enjoy all kinds of leisure activities including going out for meals, shopping, walking, music cinema and spending time at home. Holidays are planned for those service users who wish to go. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 11 Evidence was seen in records and in the pictures around the home that family and friends play an important part of the home and service users’ lives. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 12 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 and 19 Service users’ personal and health care is provided appropriately and sensitively. EVIDENCE: Service users’ health needs were detailed in service user plans. Staff said that support from the local learning disabilities team was excellent and because of the complexity of some of the service users needs they benefited from a truly multi disciplinary approach. Staff said that personal support is provided according to service users wishes and this is detailed in the service specifications. Observations of staff supporting service users confirmed this. Sometimes service users’ choice is restricted because of safety and evidence of this was seen in service specifications. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 13 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) none EVIDENCE: Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 14 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 and 30 Service users live in a home that is clean, comfortable and well maintained. EVIDENCE: A tour of the premises was made. Staff said that the redecoration had impacted on the atmosphere and general mood of service users. The home was previously decorated in bright colours which were now creams and pale greens. There is a large kitchen diner which tends to be the hub of activity and two lounges one for which has a key board player and some sensory light equipment in it. There are sufficient bathrooms and toilets and bedrooms are decorated according to individual choice. The carpet in the ground floor bedroom was badly stained and needs replacing. Outside is a large garden which is being landscape for easier access and maintenance. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 15 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) 35 Service users receive care and support from a well-trained staff team. EVIDENCE: UBU provide a robust induction programme that is recorded and verified by the home’s manager. The deputy manager provided her record for inspection. She said that induction is thorough and covers general and specific aspects of providing a service for people with learning disabilities. She said that she has to complete and provide evidence of competence in all areas before she can progress through her probationary period. Staff progress from induction to complete LDAF training and NVQ level 2 and 3. There was evidence that both UBU and the home’s manager is committed and promotes the value of having a well-trained staff team. UBU provide an annual programme of training which covers statutory health and safety and more specific topics such as loss and bereavement, challenging behaviours and recognising and dealing with abuse. Additionally training can be arranged externally, which is specific to the home or the needs of a person living there. Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 16 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) none EVIDENCE: Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 17 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 x x x x 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 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cragmere Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 18 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 24 Regulation 23 (2) (d) Requirement The carpet in the ground floor bedroom must be replaced. Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross YORK YO32 9GZ 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 Cragmere J53-J04 S7881 Cragmere V226450 250505 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!