Inspection on 02/06/06 for Craigneil

This inspection was carried out on 2nd June 2006.

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

Craigneil 08/11/07

Craigneil 08/12/05

Craigneil 29/04/05

Craigneil 14/09/04

Craigneil 28/04/04

Craigneil 16/05/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Craigneil Seaborn Road Bare Morecambe Lancashire LA4 6BB Lead Inspector Mr Ajam Auckburally Unannounced Inspection 2nd June 2006 10:00 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 Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Craigneil Address Seaborn Road Bare Morecambe Lancashire LA4 6BB 01524 831011 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) Mr Barry Hinde Mrs Suzanne Marie Hinde Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: Craigneil is situated on Marine Road in Morecambe and facing the promenade. The home is a two-storey building and is registered to provide accommodation for a maximum of fifteen older people of both sexes who are aged 65 and over. Accommodation is provided in 13 single and 1 double bedrooms. The double room is used for married couples or people who wish to share. At the time of the inspection this room was being used by a single occupant. Communal facilities include a lounge and a lounge /dining room. A patio garden area facing the sea front is available for the residents to enjoy. The home is staffed around the clock to meet the needs of the residents. Craigneil is close to some amenities. A small shop and a church are within a few yards of the home. There were 12 residents living at the home at the time of the inspection. Current weekly fees are between £320 and £360 and additional extras like hairdressing, newspapers and private chiropody are paid for by the residents. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Craigneil was assessed as requiring a statutory key inspection between April 2006 and March 2007 with a further random inspection if required. An unannounced key inspection was carried out on 2nd June 2006 and it lasted for 5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the manager, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. There were 12 residents living at the home at the time of the inspection and there were 2 care staff, the manager, and a cook on duty. The number of staff on duty was within the minimum level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: The residents are well looked after by the staff. They said that everyone is so nice and caring. The staff were observed to be polite and courteous to all the residents. The food served is good. A cook is employed to do the cooking and she said that she tries and provides food which the residents like. There is a good and varied programme of activities provided for the residents. This helps keep them active and motivated. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 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 Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 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): 3 Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. The manager provides good information both verbal and written to enable new residents to decide whether to choose the home or not. EVIDENCE: The last resident admitted to the home was spoken to. She said that she visited the home before accepting a place. She added that she was impressed with the staff and the friendliness of the place. She said that she was given verbal information about the home and her family was given written information. She was admitted on a trial period of 6 weeks and has decided to a stay permanently. She said that she signed a contract with the home. Her case file was examined and it clearly shows that a pre admission assessment was done to identity her needs. This has now been developed into a care plan which shows how those needs are being met. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 9 Other residents spoken to said that their families visited the home on their behalf. They said that they are well looked after and that they made the right choice in coming to live at Craigneil. One resident said “I am so happy here and when I go out to my family, I can’t wait to return home.” Two of the relative survey cards received stated that no inspection report was available to them. A copy on the report was found to be available on the sideboard in the dining room. The manager was advised to draw relatives attention to its location. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 10 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 & 10 Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. Residents are well cared for by a team of dedicated staff. Their health and well being are promoted well and they are treated with respect and dignity. EVIDENCE: Two residents were case tracked to evidence how the staff meet the health and social care needs of the residents. Case tracking means that the services provided to the residents are closely examined. In this instance two residents were selected by the inspector and their case files were examined, they were spoken to and their rooms visited. One of the residents was the last one admitted whilst the other one has been at the home for many years. The written records show that they were assessed before they were admitted to the home which means that the care provided is geared to their needs. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 11 The care plan of the new resident showed that she needed intensive support with her mobility. She was given all the help she needed. Her doctor and her family were also involved in developing a plan to help her. She is now able to go out for walks by herself. She said that she had stayed in two other homes and this is the best. She said that the staff are the best and they are very friendly. The other resident has been at the home for many years. His conditions have slowly deteriorated over the years and he is now in a wheelchair. His care plan shows that he is given personal care to meet all his needs. The staff are very sensitive to his needs. One member of staff was seen to provide him with privacy when attending to his personal needs. The residents have choices as to whether their doctor visit them at the home or go to the surgery. The residents said that they prefer the doctor to come and see them at the home. Similar arrangements are provided for other health care professionals such as dentist, optician, and chiropodist. The care staff spoken to said that they encourage the residents to remain as independent as they want and provide them with full assistance when they need it. The record of medications was examined and was found to be correct. The medications are kept in a locked cabinet in the office. Medications are only dispensed by experienced staff who have attended a relevant course. Residents who are able and willing may after an assessment keep and take their own medications. None of the current residents was self medicating. Information received from the home indicated that there are 4 residents suffering from dementia. The manager said that these residents have been at the home for a while and that their general mental state is deteriorating. They are confused and forgetful. She said that they have not been formally diagnosed as dementia clients. The manager was advised not to diagnose people and to ensure that she remains within the category of residents the home is registered for. She said that the staff are able to care for these residents and that they are manageable. The accidents records were examined and they showed that there have been 4 accidents at the home. The accidents were not serious and the home dealt with them appropriately. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 12 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 Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. The residents are happy and contented. Their daily life is as fulfilled as possible. EVIDENCE: The residents said that they are happy with the level of activities in the home. They said that there is something going on almost everyday. On the day of the inspection which was unannounced, an entertainer arrived to sing and play the organ for the residents. Most of the residents attended. They were encouraged to join in and sing along. An activity book is kept by the home. This record shows that there is something going on almost everyday to entertain and stimulate the residents. They have bingo, dominoes, music, exercises, story telling and many other things. The staff said that they would do any reasonable activity the residents wanted. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 13 One of the residents being case tracked goes out for a walk everyday. She said that she enjoyed her walks and especially along the seafront which is facing the home. The other resident is not able to walk and the staff said that they sometimes take him for a walk in his wheelchair. Relatives are encouraged to visit the home when they want. One visitor was present during the inspection. She said that she is very satisfied with the services provided and that all the staff are kind and caring. Comment cards returned by 8 relatives were generally positive about the care provided. Two had concerned about the staffing level which was found not to be justified. The staffing level is discussed in the staffing section. The residents said that the food is good and that they get plenty to eat. The main meal, which is at lunch time, is a set meal, but an alternative is provided. A wide choice of food is provided at teatime and breakfast. The residents said that although a cooked breakfast is not served as a rule, they could have one if they wanted to. The manager and the staff confirmed this. Food is normally served in the dining room as a social gathering, but residents may eat in their rooms if they wish. One resident who was not feeling well was having her lunch in her room at the time of the inspection. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 14 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 Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. The home is safe for the residents to live in and that they are not afraid to speak to the manager or staff if they are unhappy. EVIDENCE: The manager, following advice at the last inspection has produced a policy on adult abuse. It describes the different types of abuse and what staff should do in the event of an abuse taking place. Several member of the care staff team have attended a course on abuse. They said that they have a better understanding about abuse and would never harm the reisnets. Two of the relative survey cards returned stated that they were not aware of the complaint’s procedure. The manager said that the procedure is on display in the hall and has been there for many years. She also said that families are given a copy of the Service User Guide which include the complaint’s procedure. She said that when she talks to relatives she will remind them of the procedure and where to find it. The home had 4 complaints recorded in the complaint’s book. These were all internal complaints and were satisforily dealt with. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 15 The residents said that they feel safe living at the home and that if they had any complaints, they would not hesitate to speak to the manager. The manager said that she speaks to the residents everyday and deal with any problems they may have straight away. She also said that she has an open door policy and residents, staff and relatives can see her when they want. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 16 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 & 26 Quality in this outcome group is adequate. This judgment has been made using available evidence including a visit to the service. The home is safe for the residents. Some works remains outstanding. EVIDENCE: Central heating radiators in two bedrooms still need to be fitted with low heat surface covers to prevent residents being burnt. The manager said that this work is being done shortly. In the meantime, she has risk assessed the residents and they are not in any danger from the radiators. A tour of the building was carried out. The home was found to be clean and in good order. The residents said that the staff clean their rooms daily. They said that they can do a bit of their own cleaning if they want. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 17 One bedroom was being redecorated and new carpet fitted. The laundry which is situated in the basement still needs the floor repairing. The manager said that the laundry is going to be included in a new plan to extend the home. Plans are currently being drawn. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 18 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 Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. The staffing level at the home is good. Residents are cared by team of dedicated staff. EVIDENCE: The comments in two of the survey cards returned by relatives stated that the staffing level is not adequate particularly in the evening. The manager was asked about this and she said that staffing level for the home meets the minimum recommended by CSCI. She said that the two care staff on duty in the evening are not too busy as many of the residents can take themselves to bed and are quite independent. The staff spoken to confirm that when they have been on evening shift, they could cope very well with the routines and speak to the residents and also do some activities. The duty rota was examined and found to have enough staff on duty at any one time to cope with the work involved. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 19 The percentage of care staff who has completed their NVQ level 2 has increased to 80 . CSCI recommends that at least 50 of staff achieve this qualification. The staff have attended other training courses such as Medications. Health and Safety, First Aid and other relevant courses. This means that residents are cared for by a team of trained and motivated staff. The staff said that they try and go on any training courses as it gives them knowledge which benefits the residents. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 20 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): Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. The home is well run with a good amanger and supported by a team of good staff EVIDENCE: The manager has been working at the home for many years. She is also married to the owner. The home is well managed and run. The residents said that they can talk to the manager and if they have any problems, she usually sort them out. The staff said that the manager is very supportive and listens to their suggestion and ideas. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 21 They said that they are involved and consulted in the care plan of the residents, and also on future planning and development of the home. The manager still needs to complete the Registered Manager’s Award. She said that she is due to complete this qualification in about 8 week’s time. There is always a good atmosphere in the home and the manager, the residents and the staff seem to get on well together. How aware of equality and diversity issues are management, staff and others involved in the service delivery? This was found to be adequate. Within the service there is evidence of reasonable awareness and understanding of equalities and diversity. The manager was aware of different religions and how to meet the belief of residents. Staff who have completed their NVQ training have done a unit covering Equality and Diversity issues. The service shows a lack of awareness of new legislation, guidance and best practice and does not provide staff with necessary information. The owners were advised to access information on CSCI web site at www.csci.org.uk Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 22 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 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 X 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 2 X X X 3 X X 3 Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 23 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 OP25 Regulation 23 Timescale for action All central heating radiators must 31/07/06 be fitted with low heat surface covers Requirement 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 1. Refer to Standard OP31 OP26 Good Practice Recommendations The manager should complete the Registered Manager’s Award The laundry floor and walls should be renewed or repaired. Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Craigneil DS0000009708.V286283.R01.S.doc Version 5.1 Page 25 - 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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