Inspection on 05/07/05 for Craigmore House

This inspection was carried out on 5th 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

Craigmore House 08/02/07

Craigmore House 25/01/06

Craigmore House 08/11/04

Craigmore House 09/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

1 Lanark Close

Sixth Avenue, 53-55

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

CARE HOME ADULTS 18-65 Craigmore House 49-51 Bede Road, Barnard Castle, County Durham, DL12 8HB Lead Inspector Paul Emmerson Unannounced Inspection 5 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. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Craigmore House Address 49-51 Bede Road, Barnard Castle County Durham, DL12 8HB 01833 630684 01833 637700 craigmore-house51@tiscali.co.uk www.britnettnett/craigmore.co.uk Mrs. Christine Taylour 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) Care Home 10 Category(ies) of Learning Disability (10) registration, with number of places Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8/10 November 2004 Brief Description of the Service: Craigmore House provides personal care and accommodation for up to ten adults (aged 18 – 65) with learning disabilities. The service operates within the private sector and is owned and managed on a day-to-day basis by Mrs. Christine Taylour. The home was formerly two large terraced houses. A door between the dining room and the television room connects the two properties. All bedrooms are for single occupancy. The home is situated within walking distance of the town centre and other local amenities. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory obligation to inspect all care homes at least twice a year. This unannounced inspection of Craigmore House was carried out in accordance with this obligation. The inspection took place over 6½ hours, on the morning and afternoon of Tuesday 5th July 2005. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be assessed during the next inspection of the home. Any issues raised in the last inspection were also examined. The inspector looked around the building and a number of records were examined. The home’s proprietor, two staff members, ten service users and a visitor were spoken to. What the service does well: What has improved since the last inspection? An Activities Organiser is now employed for 20 hours per week. This person has successfully co-ordinated a range of additional in-house activities for the residents of Craigmore House. These have included a Creative Writing Course, Ceramics and Drama. This appointment has served to further enhance service users’ leisure time options. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 6 An informal brochure about the service with pictures and photographs has been prepared and made available. All service users have been provided with an updated contract / statement of terms and conditions with the home. Continued staff training has been provided. All staff have completed a LDAF (Learning Disabilities Award Framework) training course. Service users spoke about getting “a choice of meals now”. Meal choices are discussed with service users who decide meals required and help make up the shopping list needed to prepare them. Medication procedures have been reviewed. A fridge for the storage of medicines has been obtained. 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. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 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 Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 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 & 5 Admissions to the home are appropriately managed. EVIDENCE: Craigmore House is registered to accommodate up to ten people with learning disabilities. On the day of the inspection ten people were living there. The owner of the home states there is a waiting list for any vacancies. The most recent admission to Craigmore House was over 2 years ago. Due to this lapse of time, the inspector did not speak to this service user about their experience of moving in to Craigmore House. However, on previous inspections the service user has provided positive comments about the home and when asked what they thought about Craigmore House now, the service user replied, “the house is nice to live in”. Documents in the home confirm that prior to this person’s admission appropriate assessments were conducted. After admission, a more detailed care plan was prepared, which is informing the delivery of the person’s care. The home has its own assessment and care planning documents for this purpose. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 9 Copies of assessment documentation and other relevant information from the Local Authority Social Services Department were also obtained and appropriate care reviews have subsequently been conducted. Service users considering a move to Craigmore House would be welcome to visit the home with their relatives, have a meal and stay overnight if necessary. In this way service users can get to know the home before moving in. Any move would be on a trial basis. Six weeks or so after moving in, a formal review meeting would be held to consider permanency. Craigmore House provides a very good standard of support to the ten service users accommodated. From discussions with people in the home, the care provided is underpinned by the knowledge, values and experience of the home’s management and staff. Specialist needs are met through interventions within the home or through access to specialist services as required. Craigmore House has a Statement of Purpose and a Service Users’ Guide to provide service users and potential service users with information about the home. A more informal brochure about the service, with pictures and photographs, has also been prepared and made available. It is also noted that since the last inspection, all service users have been provided with an updated contract / statement of terms and conditions with the home. Service users spoken to, within the limits of their communication and understanding, generally provided positive feedback. When asked what they thought about Craigmore House, one service user said, “It’s a nice old house, a bit old fashioned, but alright”. A relative visiting Craigmore House said, “There’s not enough Craigmores in the world”. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 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 & 9 Service users’ needs are met. They are offered choice and any decision-making is appropriately supported. Care plans record service users’ needs and aspirations, together with the actions required and being taken to meet them. EVIDENCE: Service users interviewed spoke about choosing their meals. Each Sunday, staff discuss with service users what service users would like to see on the menu the following week. A choice from two main meal options is offered. Groceries are then ordered accordingly. One service user said, “We get a choice of meals now”. Another person spoke about the “sausages and cheesy mash” she had chosen for the teatime meal that day. Service users can chose to spend time in their rooms if they want to and were observed to do this. They can also choose to get up and go to bed when they want. They can choose to participate in activities and day care options that are arranged for them. House meetings are regularly held and are used as a means for service users to express their views. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 11 Role-play is also used. For example, by copying the TV show Big Brother’s ‘Diary Room’ as a means for service users to speak up about issues concerning them, how they are feeling, what changes they’d like to see etc. Craigmore House has its own people carrier transport. Three vehicles are available, which are used to take people to social events and other activities. Service users spoke of their visits: to Preston Park that day; to Flamingo Land last week; about nights out; and holidays to Spain. One service user said, “I like going on trips, Karaoke and that”. Care plans have been prepared for all service users and these documents contain much information. Care reviews have been held or arranged for all the service users. The care plans examined showed that care planning arrangements are being developed to reflect a more person centred approach to the care and support required and being provided by the home. Service users are enabled to make choices and any associated risks are considered within risk assessments. For example, service users’ unaccompanied use of public transport and air travel to visit relatives. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 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 & 17 Wide-ranging activities are arranged and service users live as part of the local community. Contact with family / friends is supported. Meals are wholesome and nutritious, all dietary needs are met. EVIDENCE: Service users spoke about the wide range of activities they are involved in. On the day of the inspection some people had been to Preston Park as one of the home’s weekly ‘day of interest’ activities. Another person had been horse riding. The owner of the home has holiday apartments in Spain; service users spoke about their holidays and trips to Spain and also visits to Euro-Disney. One person said, “I’m looking forward to going again”. Service users spoke enthusiastically about their work in ‘Andalucia’, a nearby shop, opened by the home’s day service (Taylour-Made Day Care) which sells ceramics and craft items. One service user said, “I like working in the shop, we Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 13 get customers coming in and buying things we’ve brought from Spain, it’s great”. Another person said, “The shop’s alright but we don’t get paid”. The home’s brochure describes Andalucia as: “Dedicated to promoting opportunity and meaningful employment. It states, “The shop forms part of the integrated resource centre in Barnard Castle. Andalucia offers work placements for those who wish to experience working within the community. In addition it also offers clients the opportunity to travel, source merchandise and gain an invaluable insight to the overall logistics of the retail trade.” An Activities Organiser is now employed for 20 hours per week. This person has successfully co-ordinated a range of additional in-house activities for the residents of Craigmore House. These have included a Creative Writing Course, Ceramics and Drama. This appointment has served to further enhance service users’ leisure time options. 2 service users have been studying catering at college. As stated above, in house projects have also been taking place. For example, under ‘Good for the Soul’ a local ‘Arts on Referral’ initiative, service users have enjoyed working with ceramics and are currently doing some creative writing workshops. In a recent Craigmore Newsletter, one service user spoke about ‘Good for the Soul’: “On a Tuesday in the evening at Craigmore House we are doing ceramics making and pottery. We have made a banner for Craigmore House from clay and we painted it with slip paint. We are going to hang the banner outside the house. Next we are going to do creative stories”. Service users also spoke about the enjoyment they obtain from social events and contact with friends outside the home. The home’s float in Barnard Castle’s Whit Monday Parade went down very well. Wherever possible, family links and friendships are supported. The home recognises the importance of family and has worked to facilitate family involvement, particularly where family links have lessened. There is documented evidence of contact between service users and families held within care plans. The home has open visiting arrangements and visitors are warmly welcomed. A relative visiting the home said, “She’s well cared for, they get good food, the social side is good, we like the shop”. From discussions with service users, there is a clear sense of ‘family’ within Craigmore House and a feeling of the home’s participation in the local community. Service users feel free to express their views and opinions. One service users said, “We get on, but sometimes there’s too much bickering”. Policy / procedure documents have been developed regarding service users’ right to have intimate personal relationships and access to specialist guidance to support service users in making appropriate decisions. The home’s activity in promoting positive lifestyle outcomes is commended. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 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) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. EVIDENCE: N/A Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 15 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 of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. EVIDENCE: N/A Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 16 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 & 30 Craigmore House is homely, safe and clean. EVIDENCE: Craigmore House was formerly two large terraced houses. The premises are in keeping with the local community. A door between the dining room and the television room connects the two properties. All bedrooms are for single occupancy. Bedrooms meet the National Minimum Standards minimum space requirements. The home is situated within walking distance of Barnard Castle town centre, other local amenities and public transport connections. Craigmore House provides homely and comfortable accommodation with adequate living space for the service users currently accommodated. The furnishings and fitments of the home are domestic in style and appearance. The building, furnishings and fittings are generally kept in good order and repair. However, some redecoration work is overdue. One service user said some of the decoration, “Reminds me of my nana’s kitchen”. Another service user said, “It’s a nice old house, a bit old fashioned, but alright”. However, a Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 17 relative visiting Craigmore House said of the home, “The home’s good, the premises are fabulous, clean, they are well cared for.” Bedrooms were seen to be individually decorated and furnished to reflect personal style and taste. Bedrooms have been further personalised with service users’ own pictures, posters, ornaments and other personal belongings. Discussions with service users confirmed that each person has in the past been involved in choosing the colour scheme and décor within their rooms. Adequate communal and private space is provided for service users and staff. There is a large communal lounge, two dining rooms and a fitted kitchen. Office accommodation for staff / management use is also provided in a basement room and in a room to the rear of the kitchen. Offices are situated away from service users’ living space. Craigmore House has bathroom facilities, which meet the requirements of the National Minimum Standards for ‘pre-existing care homes’ registered prior to 31 March 2002. Two bathrooms are provided, each with a shower. One service user has an en-suite shower room. However, although the bathroom facilities currently provided meet the assessed needs of the service users currently accommodated, this issue will be kept under review during future inspections of the home. It was also noted that one service user has said they, “Would like to have an en-suite shower in my bedroom”. Any options to enable this wish to be realised should be explored. The inspector looked around the home, which was found to be clean, tidy and free from offensive odours. Appropriate systems are in place to prevent the spread of infection. Staff have received infection control training, via a distance learning study programme. Suitable aids and adaptations are provided to meet service users’ assessed needs. Grab rails have been provided in the bedroom of one service user to assist his mobility and he has a wheelchair for use on longer journeys outside the home. For other service users any adaptations and equipment would be provided if necessary. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 18 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) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, it must be noted that Criminal Records Bureau (CRB) Enhanced Disclosures and Protection of Vulnerable Adults (POVA) checks are required for all staff appointed after 26 July 2004. EVIDENCE: N/A Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 19 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 of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, as highlighted in previous inspection reports, the registered manager should complete a management-training course at NVQ level 4 or equivalent by 2005. Further, when required, written notifications to CSCI under Regulation 37 of the Care Homes Regulations 2001 must be submitted. EVIDENCE: N/A Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 20 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 3 x x 3 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 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 x 4 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Craigmore House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? No 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 34 Regulation 19 & Schedules 2&4 Requirement Criminal Records Bureau (CRB) Enhanced Disclosures and Protection of Vulnerable Adults (POVA) checks are required for all staff appointed after 26 July 2004. Where required, written notifications to CSCI under Regulation 37 of the Care Homes Regulations 2001 must be submitted. Timescale for action 1 September 2005 2. 41 37 1 September 2005 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 24 Good Practice Recommendations A number of bedrooms and the dining room are looking “a bit old fashioned” and should be redecorated. Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 22 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Craigmore House B54 S7461 Craigmore House V228262 050705 Stage4.doc Version 1.40 Page 23 - 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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