Inspection on 20/04/05 for Cragston Court

This inspection was carried out on 20th April 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

Cragston Court 27/06/07

Cragston Court 20/09/05

Cragston Court 08/11/04

Cragston Court 13/07/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Coalway Lane Nursing Home

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

CARE HOME ADULTS 18-65 Cragston Court Blakelaw Newcastle upon Tyne NE5 3SR Lead Inspector Aileen Beatty Unannounced 20 April 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 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. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Cragston Court Address Blakelaw Newcastle upon Tyne NE5 3SR 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) 0191 286 4443 N/A manager.cragstonecourt@careuk.com Care UK Mental Health Partnership Limited (Arc Healthcare Limited) Mrs Nazmah Cadersaib CRH 20 Category(ies) of MD Mental Disorder (20) registration, with number of places Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 8th November 2004 Brief Description of the Service: Cragston Court is a 20 place care home with nursing providing care for adults with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned by Care UK a large national provider of care to a variety of vulnerable client groups. The home is situated in Blakelaw a suburb of the city of Newcastle Upon Tyne close to local shops and good public transport links. The building is single storey and has 20 single bedrooms all of which have an en-suite facilities. There are also three separate lounge areas, one of which is designated smoking and a separate dining room. The philosophy of care in the home is to support the residents in their activities of daily living and to provide for their mental health needs. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.30 a.m. It took place over 4 hours and included a tour of the premises, inspection of records and discussion with staff and service users. The overall standard of care in the home is good. What the service does well: Most residents spoken to during the inspection said that they were happy with the care they receive. They are given choices regarding all aspects of their lives. Various activities are available, and residents choose how they want to spend their time. The home is well managed. The manager is a qualified Registered Mental Nurse and also has a nursing degree and additional management qualification. Staff are encouraged to do further training and develop their skills. A broad variety of training is provided. Most care staff hold and NVQ qualification in NVQ level 2 or above. Staff present during the inspection were friendly, polite and helpful. The home is clean and tidy. Resident’s rooms are personalised and homely, and residents can choose the colour of their room when redecorating. Each room has it’s own front doorbell. All safety records checked were satisfactory. There are excellent systems in place to organise the office, all files containing policies and procedures, and residents files are numbered and an index available. Procedures for the storage and administration of medicine are good. Residents care files examined contained all of the required information and are well organised and kept up to date. Staff records examined are also satisfactory. There have been no complaints since the last inspection and there are satisfactory procedures in place to deal with complaints and allegations of abuse and other adult protection issues. The home is aiming towards becoming a Centre of Excellence, and is working with the Practice Development Unit at Leeds University to achieve this. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 7 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 Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 8 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) 2, 4 and 5. The needs of service users are assessed prior to admission to the home and are cared for by staff with the relevant skills and experience to meet these needs. Service users may have a trial visit prior to moving into the home. All service users have a copy of the service users guide and statement of terms and conditions. EVIDENCE: Care records were examined for 4 residents. All contained comprehensive assessment information that had been received by the home before their admission. Residents are involved in all decisions about their lives and there is evidence of this in the care records. Care plans were available and were based on the information from the needs assessment. Those residents able to do so, sign their own care plans. Upon admission, residents are given copies of the Service user Guide and User Charter. These are provided in a welcome pack. Residents are all offered a trial visit. This may be for a day, overnight, or for the weekend. The welcome pack is very informative and easy to read. It contains a welcome letter, useful information about the home (such as laundry days, local amenities and meals snacks and drinks). In addition to this there is information Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 9 about seeing a Doctor, visiting, decorating bedrooms, lockable storage, lost and found, safety procedures and leisure and activities and how to compliment or complain. This list is not exhaustive. A formal statement of purpose is included in the pack, which contains all of the required information. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 10 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. Residents are involved in the care planning process. Residents are consulted about their care and daily lives and are given opportunitites to help make decisions in the home. Independence is supported, and where this may involve an element of risk, risk assessments are carried out. EVIDENCE: Records examined contained care plans written by staff in consultation with residents, using assessment information provided upon admission. These records are signed by residents, and there is evidence that care plans are reviewed regularly. Plans are written in an easily understood format. All residents are encouraged to be involved in decision making in the home. There are regular meetings and minutes taken. Individual choices about their care, such as whether people would like to be checked through the night, or prefer male or female staff to assist with personal care are recorded in individual files. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 11 Staff support residents in taking responsible risks. Written risk assessments are in individual files. For example, a number of service users are able to cater for themselves using cooking facilities in their room following a risk assessment. Where there may be constraints upon an individual’s freedom for safety reasons, this will be recorded in their care plans. There are written agreements in files regarding expected behaviour. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 12 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, 15,16 and 17. Residents have access to a broad range of leisure activities and contribute to the planning of these. Personal relationships are respected and residents are supported in maintaining these. They are encouraged to be independent and their rights and choices are respected. Residents contribute to menu planning and enjoy the food provided. EVIDENCE: A number of residents have jobs and/or regularly take part in activities in the community such as craft classes, shopping, visiting a day centre, and restaurants. During the inspection residents were involved in various activities such as crafts, sitting in the garden and going shopping. People are encouraged to take part in activities arranged by the home but are never pressurised. Activities are advertised on notice boards. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 13 Family and friends are encouraged to visit the home. A formal advocacy service is advertised on the notice board. Daily routines in the home promote independence and freedom of movement. Service users can have their own bedroom door key, front door bell and may choose colour schemes. This demonstrates that rights and choices are respected. Residents have access to the laundry and are supported by staff if necessary. A payphone, which also receives incoming calls is available to residents. Menus follow a four weekly Rota and are discussed with residents at regular meetings where unpopular choices may be changed and new items added. Some residents self cater and are supported by staff including the cook. Menus are chosen the evening before, and the cook confirmed that she will always try to accommodate requests for something different. Residents spoken to said that they enjoy the meals. One person said that they would like more variation at supper time. Nutritional assessments were seen in individual files. The cook demonstrated a good understanding of special diets. The service user guide states that residents can be provided with the ingredients to make themselves a cooked breakfast if they wish with staff help if necessary. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 14 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 20 and 21. Service users are given appropriate sensitive and discreet assistance with personal care tasks. They are able to receive specialist support such as nursing if necessary. medication procedures are effective. There are satisfactory procedures in place to enable staff to care for terminally ill residents with sensitivity and respect. EVIDENCE: There is information in the residents files which says how much help they require. There are no residents requiring general nursing care at present and all residents are currently self caring. Staff support residents by offering to help and by prompting and reminding. Individual preferences are well documented. Staff treat residents with respect at all times. Positive encouragement was observed. There have been no accidents requiring hospital treatment in the last 12 months. There were no residents with pressure sores at the time of the inspection. Blakelaw pharmacy continues to supply medication to the home. A medication audit is carried out weekly by the manager and deputy. There are no gaps in Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 15 medication records and all medication including lotions and eye drops are stored and labelled correctly. A random check of controlled drug Temazepam found the correct quantity and accurate records. Residents who are frail or dying would be cared for at the home for as long as it is practical to do so. The aim would be to keep them at home for as long as possible if it is also their wish to stay. Appropriate support from community nurses would be sought if necessary. There is a death and bereavement policy in place. They are also aware of the procedures to follow in the event of a sudden death in the home. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 16 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) 22 and 23. The views of residents are listened to and acted upon and they are protected from abuse neglect and harm. EVIDENCE: There have been no complaints or allegations of abuse neglect or discrimination since the last inspection. Staff files examined show that all staff are properly vetted before starting working with vulnerable adults. The policies and procedures examined are of a good standard and residents spoken to know how to make a complaint. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 17 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, 27 and 30. The environment is homely and comfortable and meets the needs and preferences of residents. There are suitable and sufficient bathrooms to meet the needs of residents. The home is clean and hygienic. EVIDENCE: The premises are clean and regularly maintained. Areas of high use are in need of refurbishment and plans are already in place for some redecoration and replacement of furniture. Communal areas include smoking and non- smoking areas. Bedrooms are nicely personalised and all have en suite bathroom facilities. There are 20 beds in total and all rooms are single occupancy. All bedrooms are thoroughly “spring cleaned” once a week. There is a mixture of carpeting and wooden flooring. The home is clean and hygienic. The kitchen and clinic area were both clean and tidy. The cook now uses Milton in cold water as recommended by the environmental health officer. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 18 Laundry and infection control procedures are satisfactory. Washing machines are industrial and staff assist residents with laundry. The garden area is in need of some attention. There was some debris including broken glass, which must be cleared away. The home would benefit from some new garden furniture. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 19 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) 33 and 36. Residents are well supported by trained and skilled staff. Staff are very well supported although formal supervision does not always take place 6 weekly. EVIDENCE: The manager in the home is a qualified mental health nurse and also holds a nursing degree and additional management qualifications. She is an NVQ assessor and verifier and strongly encourages and supports staff to attend regular training. More than 50 of care staff have a qualification in NVQ level 2 or above. There is an open and inclusive atmosphere in the home. Staff and residents attend monthly meetings and are encouraged to share their views or concerns. There is a 2 yearly questionnaire for staff and residents and an internal audit monitors quality standards 2 monthly. Staff are well supported and there is evidence of ongoing training and informal support. Qualified and unqualified staff work closely and support each other well. It was noticed while examining records that formal supervision does not always take place at 6 weekly intervals. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 20 The manager is currently devising a system to monitor that qualified nurses are maintaining their registration status by carrying out the required amount of training. Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 21 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) 39 and 42. Residents are involved in decision making that affects the home. The policies and procedures in the home for maintaining health safety and welfare are good. EVIDENCE: Maintenance records were examined and they show that regular safety checks are carried out in accordance with the home’s health and safety policy and procedures. Regular fire drills and training are carried out and equipment tested regularly. Standards of hygiene in the home are good. All communal areas inspected are cleaned to a satisfactory standard. Training records demonstrate that staff receive regular training in fire safety, moving and handling, food hygiene, basic health and safety, first aid, infection Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 22 control and managing challenging behaviour. Training is also provided in COSHH which enables staff to use cleaning chemicals safely. Accident records were examined and there is evidence that accident records are analysed by the manager to identify any particular risks. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Cragston Court Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Score Version 1.20 Page 23 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x 3 3 x 3 x 3 31 32 33 34 35 36 x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 24 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 24 Regulation 23 2 (o) Requirement Debris must be removed from the garden and the area regularly checked prior to use. Timescale for action Immediate 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 Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Cragston Court B53-B03 S420 Cragston Court V220831 200405 Stage 4.doc Version 1.20 Page 26 - 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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