Inspection on 06/12/05 for Craignair

This inspection was carried out on 6th December 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

Craignair 16/04/07

Craignair 22/06/06

Craignair 29/07/05

Craignair 10/12/04

Craignair 09/07/04

Craignair 18/02/04

Similar services:

Chirnside House

Emmaus House

East Croft Grange

Croston Park Nursing Home

Conifers Nursing Home

Cloisters

Elmsdene Care Home

Crawfords Walk Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Craignair 3 Blundellsands Road West Blundellsands Liverpool Merseyside L23 6TF Lead Inspector Mrs Trish Thomas Unannounced Inspection 6th December 2005 11:00 X10015.doc Version 1.40 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 Craignair DS0000005411.V272150.R01.S.doc Version 5.0 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 Older People. 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. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Craignair Address 3 Blundellsands Road West Blundellsands Liverpool Merseyside L23 6TF 0151 931 3504 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) Mrs Bernadette Neale Mr Stephen John Neale Mrs Bernadette Neale Care Home 21 Category(ies) of Dementia - over 65 years of age (21) registration, with number of places Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 21 DE(E). The service must employ a suitably qualified and experienced manager who is regsitered with the Commission for Social Care Inspection. The service is registered to admit one named service user under pensionable age. Date of last inspection Brief Description of the Service: Craignair is a care home for 21 older people with dementia. The service is provided in a converted Edwardian house and provides care and accommodation in a homely setting. Home cooked meals and a laundry service are also provided. All residents are registered with a local G.P. The home is staffed throughout the day and night. Nursing care is not provided and care staff undertake NVQ training in direct care, training related to dementia care and mandatory training. The home also provides 4 day-care places for people with dementia who live in their own homes. Craignair has a spacious and secure garden and is situated in a pleasant residential area, close to a train station and bus routes. The home is owned by Mr. S. and Mrs. B. Neale, and Mrs. Neale is also the registered manager. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit took place over a four-hour period. The manager, Mrs. Neale and her deputy, Mrs. Hindle provided all home’s records, which were requested. They also responded to questions and commented on standards in the home. Six residents and one visitor also commented. Due to the limited capacity of those in residence, time was taken in observing the interaction between residents and staff. A tour of the premises was undertaken. A sample of residents’ care files and staff files was read. Records relating to health and safety and training were also read. What the service does well: What has improved since the last inspection? All requirements from the last un-announced inspection were checked and have been met. Decoration of one lounge is now completed and new curtains have been fitted in the lounges and bedrooms, where matching bedspreads have also been provided. The maintenance programme is ongoing. Further NVQ, mandatory and service specific training has been undertaken by staff. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 6 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. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 The home was meeting standards 2 and 3. Prospective residents have their needs assessed, prior to admission to the home, by relevant professionals. Senior staff of Craignair, also carry out assessments, in order to establish that the home has the skills and facilities to meet the resident’s needs. All residents are provided with a written contract/statement of terms and conditions of residency. Craignair is not registered to provide intermediate care and will not be assessed against standard 6. EVIDENCE: Reference was made to a sample of social work and mental health assessments contained in residents’ care files. These provided evidence that all those admitted to the home are assessed with dementia. There was evidence of consultation with family representatives (or advocates) at the time of admission, in accordance with the capacity and needs of each individual resident. All admissions to Craignair are subject to individual contracts of residence, which cover their terms and conditions of residency, service charge and notice periods. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The home was meeting standards 7, 9 and 10. A shortfall was noted regarding one resident with regards to standard 8 and a requirement is given. Care plans and the medication systems, which were assessed, were satisfactory. Residents’ privacy and dignity are respected regarding personal care giving, accommodation arrangements and the securing of personal records. EVIDENCE: Standard 7. A sample of four care plans was seen and these were maintained to a satisfactory standard at this time. The home obtains written professional assessments from social services and health professionals, and undertakes a home’s assessment at pre and post admission stages. Individual action plans and risk assessments are carried out to address the needs identified through assessments. Care plans are reviewed on a monthly basis, or more frequently in accordance with each individual’s change in needs. Standard 9. The home has a written medication procedure. Due to the limited decision-making capacity of residents who have dementia, prescribed medication is administered to residents by staff, who have received instruction and training. Medication is held in a locked trolley, and medication was secure at the time of inspection. Standard 10. Staff were seen to be treating residents respectfully at the time of inspection. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 10 Residents were spending time between the two lounges, hallway (where seating is provided) and dining room. Members of staff were in attendance at all times. Two residents and two members of staff commented on choices available in the home. Staff who work on day shifts said they do not awaken residents and the majority are in bed when they come on shift at breakfast time. Staff said that residents go to bed when they want to. They confirmed that there are no set times for either rising or retiring and no expectation that a specific number of staff will be up and dressed, assisted by night staff, before they come on shift. Toilet, bedroom and bathroom doors were kept closed during the inspection and information held on residents was secured in the offices. A visitor said that the care provided to his wife is second to none and the staff appear to be competent and caring towards her. Standard 8. Residents are registered with a local G.P. and there was evidence in care files of referrals to health and paramedical services in accordance with assessment. For one resident who is diabetic and who had skin breaks on the lower leg, it is advised that advice is obtained from the G.P. or diabetic nurse. A requirement is made under regulation Regulation 13 (1) (b). Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The home was meeting the four standards which were assessed, regarding daily life and social activities. Residents appeared relaxed in their home and their religious affiliations and family contacts are supported. Residents have access to advocates and Court of Protection as appropriate. Residents appeared to be well nourished and arrangements for providing their meals were satisfactory. EVIDENCE: There is a relaxed atmosphere in the home and residents appeared to be at ease. Craignair provides four day-care places in the home, and an additional member of day staff has been employed to meet the extra demand. Staff said that users of the day service appear to be accepted and welcomed by the residents and a range of social activities is provided for all. The home arranges for visiting religious ministers and resident’s religious affiliations (if any) are recorded on their care plans. A visitor to the home said he is always made welcome by staff and there is a consistently pleasant atmosphere. Staff said a resident enjoys visits from his daughter and the contact appears to be of great benefit to him. Details of advocacy services are available in the home, for residents who do no have family representation. The home does not take responsibility for residents’ finances and does not hold their personal allowances. The home employs a cook and meals are served in the dining room, which is pleasantly decorated and well presented. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 12 Residents who could comment said they enjoy their meals and are served drinks throughout the day. Staff said that residents are served a hot drink when they get up in the morning, before breakfast. The home provides a range of choices and alternative meals, and caters for special diets. Residents’’ food preferences and needs are obtained on admission to the home through dietary assessments and by asking them, and/or their representatives. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home was meeting standards 16 and 18. Craignair has a complaints procedure, which is accessible to residents and their representatives. The home also has adult protection and whistle blowing procedures and provides relevant training. EVIDENCE: Craignair has a complaints procedure and a relative who commented said that staff and management are approachable and he would have no hesitation in making any concerns he may have, known to them. He said that so far, he has had no cause for complaint on behalf of his relative. The home follows Sefton Council’s Adult Protection policies and has a “whistle blowing” policy. Training in Protection of Vulnerable Adults is provided for staff. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The home was meeting standards 19 and 26. The building was wellmaintained, comfortable, clean and in good decorative order, at the time of inspection. EVIDENCE: The home is situated in a quiet residential area of Blundellsands close to a train station and with shops and bus routes in the general vicinity. A tour of the premises was undertaken and the building appeared to be well maintained both internally and externally. The home employs a handy person and there is an ongoing maintenance and replacement programme. The rear grounds are extensive, attractive and well maintained. Seating and shade are provided for residents in warm weather. There is also a well-maintained garden at the front of the property with off street parking for staff and visitors. The lounges have been recently decorated and lounges and bedrooms had new curtains with matching bedspreads. The home employs domestic staff and was clean and hygienic in the areas which were seen. The home has policies on infection control and storage of cleaning materials in accordance with COSHH regulations. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. The home was meeting all four standards assessed. Staffing numbers are consistently maintained, and staff have undertaken training specific to their roles. The home has a recruitment procedure, which includes the necessary checks, vetting and assessment of staff, prior to appointment. The home follows appraisal and training programmes in accordance with the home’s function and purpose. EVIDENCE: Reference was made to staff rosters, which record names and numbers of staff on duty on each shift. An additional member of staff has been employed for day-care duties. Training was discussed with the deputy manager and a member of care staff. NVQ training is ongoing, six staff having recently completed NVQ3. Staff also receive training in accordance with their roles and position in the home, including induction training on appointment. There is also ongoing training regarding fire safety, health & safety, adult protection and medication administration. A sample of staff files was seen and these were in contained information referred to in Schedule 2 Care Home Regulations. Two members of staff spoken with confirmed that there is ongoing training available, which is appropriate to residents’ needs and the aims and objectives of the home. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The home was meeting all four standards, which were assessed. The home’s manager, Mrs. Neale, is qualified, competent and experienced to run the home in a manner meets its stated purpose. The manager advocates an open and inclusive management style in the home. The home has a quality monitoring system based on seeking the views of residents/representatives. Craignair does not take control of residents’ personal monies. The home follows procedures and maintains records to protect the health and safety of residents. EVIDENCE: Mrs. Neale has managed the home for over ten years and has delegated a number of managerial duties to her deputy. There appears to be a strong team spirit amongst staff and an inclusive atmosphere where staff are listened to through handovers, meetings and formal supervision. The home employs a full time administrator who undertakes clerical duties. Two staff who commented said they felt well supported and valued by their employers. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 17 Residents appeared at ease with the manager and she, her deputy, and the care staff spoken with, demonstrated a clear knowledge of residents’ assessed needs and preferences. The manager said the views of residents and their representatives are valued, and that standards in the home are assessed under an independent star rating system. Records of residents’ personal allowances were requested but were not in existence, as the home does not manage residents’ personal finances. Power of Attorney/Court of Protection is established where the circumstances of individual residents may require it. The home maintains records and follows procedure in accordance with fire safety and the safety of the building and facilities. The relating records on checks and maintenance certificates were in order at the time of inspection. Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 19 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 OP8 Regulation 13 (1) (b) Requirement The manager must seek advice from the G.P. /diabetic nurse and take advised action, regarding skin breaks in the lower leg of a resident who is diabetic. Timescale for action 08/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Craignair DS0000005411.V272150.R01.S.doc Version 5.0 Page 21 - 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. 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