Inspection on 29/04/05 for Craigneil

This inspection was carried out on 29th 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

Craigneil 08/11/07

Craigneil 02/06/06

Craigneil 08/12/05

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 Ajam Auckburally Unannounced 29th April 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 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 F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Craigneil Address Seaborn Road, Bare, Morecambe, Lancashire. LA4 6BB 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) 01524 831011 Mr Barry Hinde Mrs Suzanne Marie Hinde CRH Care Home 15 Category(ies) of OP Old Age 15 registration, with number of places Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2004 Brief Description of the Service: Craigneil is situtaed in Morecambe and facing the promenade. The home has been in operation for many years. 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 14 residents living at the home at the time of the inspection. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two to be carried out this year. The inspection was unannounced and took place on 29th April 2005 and lasted 4.5 hours. The inspection was carried out against the National Minimum Standards for Older People. Although some of the paper works needed to show how the home is doing were looked at, the best part of inspection was spent talking to the residents and observing the staff at work. All the residents spoken to said that they liked living at Craigneil. One resident said “ I have been here for many years and I am very happy. All the staff are kind and I can do what I want.” Another resident said “There is nothing to complain about. If you need anything, the staff will get it for you.” There were 2 care staff, the manager and a cook on duty at the time of the inspection. There were 14 residents living at the home and they all appeared to be well cared for. The staff were observed to be polite and courteous when speaking to the residents. There was a good atmosphere in the home and the staff and the residents seemed to get on well together. Five comment cards completed by the residents at the time of the inspection were positive about the quality of care they receive. What the service does well: What has improved since the last inspection? Over 50 of the care staff have now completed their training in NVQ (National Vocational Qualification) level 2. The manager has also completed her NVQ level 4 and is currently doing her Registered Manager’s Award. All the above qualifications are recommended by CSCI (Commission for Social Inspection). Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 6 The manager took the advice of the inspector from the last inspection and has tidied the office. The manager was able to find the necessary records much easier than before. A few more of the central heating radiators have been fitted with low heat surface covers to prevent residents falling or leaning against very hot radiators. All the staff are being supervised regularly and records to show their progress are kept. 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 F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 standard(s) 3 There are good arrangements for the needs of residents to be assessed and met. This means that people coming to stay at the home will be asked questions about their personal needs and come to an agreement how the staff will provide care for them. EVIDENCE: The written assessments of two residents were examined. One of them has been at the home for only a few weeks. He said that he came to the home for a short stay of 3 weeks, but decided to stay for good. He added that the care he receives is good and he does not want for anything. The written records clearly show that all areas of care are assessed. These include mobility, mental state, continence, personal care and other areas which will ensure that the person receives the care he/she needs. In one of the personal files, it is stated that the resident needs help to go to the toilet. The inspector observed a member of staff doing this task in a polite and discreet way. Another resident records showed that she regularly goes to a day centre for a sewing class. At the time of the inspection, the resident was attending the said class. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 standard(s) 8 and 10 Arrangements to meet the health care needs of the residents are good. Policies and training ensure the residents are treated with respect and dignity and that their privacy is respected. This means staff are aware that every resident is entitled to full liberty and freedom in their daily life and can expect respect and privacy. EVIDENCE: In the personal care files of the residents, there are information about their health care assessments such as their medical conditions and what medications they take. The residents spoken to said that they are given their medications regularly and at the time they should have them. One lady said that the staff apply her ointment when she needs it and in the privacy of her room or in the bathroom. When the doctor visits a resident, the information is recorded in colour-coded form and any treatment prescribed is administered according to the instructions given. Residents can visit their doctors at the surgery if they so wish, but in most instances, home visits are made. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 10 Similarly residents can choose to visit other health professionals such as dentists, opticians, chiropodists at their surgeries or see them at Craigneil. The care plans used by the district nurses were seen and they showed that residents were having the treatments they need. The district nurse was visiting the home at the time of the inspection and she said that she receives full cooperation from the staff. The residents spoken to said that all the staff respect their privacy and treat them with dignity. One resident said “I like to have a rest in my room in the afternoon and the staff respect that and when they bring my cup of tea, they always knock before they come in. I told them not to bother waiting for an answer but to just knock and come in”. The staff spoken to were able to explain the importance of privacy. They said that they always knock before going into residents’ bedrooms. They also said that all personal care such as toileting and bathing are given in privacy by ensuring that doors are kept closed. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 standard(s) 13 and 15 There are no restrictions for families and friends of the residents to visit the home. Residents benefit from seeing their families when they want. Arrangements and planning to provide good nutritional food are good. The residents are provided with good food to ensure healthy living. EVIDENCE: The daughter of a resident called to pick up her mother’s laundry. She said that she prefers to do this and also feels involved. Her mother was out at a day centre which she attends on a regular basis. She said that she is always made welcome when she visits. The manager said that relatives can come to the home at any reasonable time. She said that all the staff are fully conversant with the policy of treating families with respect and to allow them privacy if they want. One resident said “ I go to the church which is a few yards from home and the staff give me assistance if I need it. Religious leaders of all denominations are encouraged to visit the home. The residents said that they have had people from their church visit them. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 12 The inspector had lunch with the residents. The meal was presented well and residents were asked what they wanted to eat. Although a choice of main meals is not provided, an alternative is always available. The staff said that they know what the residents like, and would not give them something they did not like. The staff said that during conversations with the residents, they get to know their likes and dislikes. The menus examined showed that the meals provided are well balanced and that a good variety of food is provided. Some of the residents said that they are asked on a regular basis what sort of food they would like to see on the menu. Most said that they like all the food served and that they get more than enough to eat. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 standard(s) 16 The arrangements for dealing with complaints are good. Residents can speak up and feel that they are listened to. EVIDENCE: The home has a well-written policy on complaints. The procedures are that people should in the first instance speak to a member of staff or the manager if they have any complaints. This can be followed up by contacting CSCI (Commission for Social Care Inspection) if there is still dissatisfaction. A complaint book is kept, but there was nothing written in it. The manager was advised to encourage the staff to write any concerns the residents or their families may have. The residents spoken said that they had no complaints about any aspects of their care or about the staff. They said that when they have had any concerns, they were sorted out very quickly. One resident said, “ I had an item of clothing missing and when I told the staff about it, they happily search and found it”. All the residents or their families receive a copy of the home’s complaint’s procedure. Some of the residents were not aware of the written procedure, but said that they would have no hesitation to tell someone if they had any concerns about anything. The staff spoken to said that they were aware of the written complaint’s procedure and have been told by the manager to take all complaints seriously. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 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 standard(s) 19,23,25 and 26 Craigneil is generally a safe place for people to live in although some improvements are still required. Residents feel safe and their accommodation is comfortable. EVIDENCE: The home is well maintained and there is a rolling programme of maintenance. Some of the central heating radiators have been fitted with low heat surface covers in order to prevent residents from burning themselves against very hot radiators. The records of some residents were examined and they clearly show that risk assessments are carried out to ensure that everyone is cared for safely. The risk assessments include those who might be at risk if they are in a bedroom where the heating radiator has not yet been fitted with a low heat surface cover. Risk assessments also look at other areas of the building such as the stairs, the bedrooms and other areas used by residents. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 15 The lounges have had new carpets fitted, but the carpets on the stairs and landing are showing signs of wear and tear. The manager said that these will changed as soon as possible. The laundry floor is in a poor state and needs attending to. The residents said that they like their bedrooms although some of them are on the small side. They said that they were able to bring some of their own furniture and other personal belongings. It was evident during a tour of the building that the bedrooms have been personalised and that residents’ privacy is respected as all the doors are fitted with a suitable lock. Four of the bedrooms have had new carpets fitted and new furniture installed. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 The level and calibre of staff is good. dedicated staff. EVIDENCE: The staffing rotas were checked and they showed that an adequate number of staff are on duty during each shift. The staff said that there are enough of them to provide good quality care to the residents and to meet all their needs. The residents spoken to said that the staff are kind and that nothing is too much trouble. They were observed doing their jobs in a friendly way and speaking to the residents in a polite manner. The training records of the care staff were examined and they showed that 8 of them have achieved their NVQ (National Vocational Qualification) level 2 and above. This means that the recommendation for 50 of care staff to gain this qualification has been exceeded. Some other courses attended by the care staff were: Induction Training Moving and Handling Medications First Aid Food Hygiene. The manager said that the staff will continue to attend training courses relevant to their work. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 17 Residents are cared for by a team of The staff and the residents appeared to get on well together and this generates a good atmosphere in the home. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 35 The arrangements to protect the residents’ money and property are good. Residents’ money and belongings are safeguarded. Experienced and qualified management staff run the home. Residents live in a well managed home. EVIDENCE: The manager said that residents and their families are encouraged to deal with their own finances. Only one allowance book is held by the home and the amount collected weekly go towards paying the fee of the resident. The records were checked and were found to be accurate. Some of the residents said that their families deal with their finances and give them small amount of spending money as they need. The manager has achieved her NVQ level 4 in March 2005 and is due to start her Registered Manager’s Award in September. Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x 3 3 x 2 2 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x 3 x x x Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 20 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 25 Regulation 23 Timescale for action All central heating radiators must 31/10/05 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. 2. Refer to Standard 26 24 Good Practice Recommendations The laundry floor and walls should be renewed or repaired. The carpets on the stairs and landing should be replaced Craigneil F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 F57-F09 S9708 Craigneil V219136 290405 Stage 4.doc Version 1.30 Page 22 - 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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