Inspection on 08/12/05 for Craigneil

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Craigneil 08/11/07

Craigneil 02/06/06

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 8th December 2005 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.V270345.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. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 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.V270345.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 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 14 residents living at the home at the time of the inspection. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the second of two to be carried out this year. The inspection took place on 8th December 2005 and was an unannounced one. It lasted for 4 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection was carried out in a relaxed atmosphere with the full cooperation of the manager, the other staff and all the residents. The inspection took the form of looking at some of the records, talking to the residents and the staff and checking the building. There were 14 residents at the home and they said that they were well cared for and that all the staff were kind and helpful. What the service does well: What has improved since the last inspection? New carpets have now been fitted to the stairs and landing. The easy chairs in one of the lounges have been replaced with new ones. The residents said that they liked the chairs and that the new carpets look nice. Craigneil DS0000009708.V270345.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. Craigneil DS0000009708.V270345.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 Craigneil DS0000009708.V270345.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): EVIDENCE: The home does not provide intermediate care. The other core standard was assessed during the previous inspection and was met. Craigneil DS0000009708.V270345.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&9 Arrangements for assessing and meeting residents’ needs are good. Medication policies and procedures are robust. Residents have good care plans and their medications are dispensed in a safe manner. EVIDENCE: All the residents have a personal file containing their assessments and care plans. The case files of two residents were examined and they showed that they have been assessed properly and that care provided is according to assessed needs. The records also show that care provided is recorded and that monthly reviews take place. The residents spoken to said that they receive good care and that the staff are kind. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 10 The staff the inspector spoke to were fully aware of the needs of the residents and said that they were involved in providing care according to individual assessments. The inspector observed the care staff dispensing medications to the residents. This was done according to procedure. The records of medications were examined and they were found to be correct. An audit trail of the medications of one resident was done and this was found to be accurate. The manager was aware that medications following the death of a resident should be kept for a week in the event that a post mortem is carried out. Craigneil DS0000009708.V270345.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 & 14 There are good practices to encourage residents to remain active and have choices. Residents can practice their religions and are offered choices in their daily activities. EVIDENCE: The manager said that some activities are organised for the residents. These include regular bingo sessions, floor game such as skittles. The residents said that they can go out when they want and the staff would give them with assistance if required. One resident was celebrating her birthday on the day of the inspection. She said that the cook had a baked a nice cake for her and that there was going to be a small celebration at teatime. A Christmas party has been arranged for 21st December and all relatives have been invited. The vicar and priest visit the home regularly to see some of the residents and to give communions. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 12 One resident said that she used to go to church but is not able to do so now. She said that the vicar from her church visits her. The residents said that they can do what they want and that the staff would provide assistance if they need it. Residents were seen doing what they want. Some were in the lounge and a few were in their rooms. Craigneil DS0000009708.V270345.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): 18 There were no written policies and procedures on Adult Abuse. Residents could be put at risk if no proper procedures are followed in the event of an abuse taking place. EVIDENCE: Although the manager was able to describe in parts what she would do in the event of an abuse being reported to her, there were no written policies and procedures to be followed in the case of an abuse. The manager was not aware that the local Social Services Department should be informed as they take the lead in any case of abuse to a resident. The booklet ‘No Secrets’ produced by Department of Health on how to deal with abuse was not available. The manager was given information on how to obtain a copy of the booklet. The residents said that they feel safe living at Craigneil and that all the staff are kind and speak to them with respect. The inspector observed good interactions between the residents and the staff. The residents were seen to go about their daily business in a happy manner and did not appear to be frightened. Craigneil DS0000009708.V270345.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): EVIDENCE: The core standards were assessed during the previous inspection and there is still some work to be carried out as recommended. Some of the central heating radiators need to be fitted with low heat surface covers. The owner said that the recommendation to replace the laundry floor is proving to be a major job and is therefore considering relocating the laundry. He said that he is planning to build a new laundry at the rear of the home. The toilet on the ground floor is in need of decorating as the wallpaper is peeling off. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 15 New carpets have been fitted to the stairs and landing as recommended during the previous inspection. New chairs have purchased for the front lounge and the residents said that they like them. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 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 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): 28 & 29 Staff recruitment is efficient. Staff training policy is good. Residents are cared for by a team of well selected and trained staff. EVIDENCE: Craigneil has a thorough recruitment policy and procedure. All applicants to a post go to a strict selection process. No new staff start work unless a police check has been made on them. Staff records examined show that police checks have been carried out. All new staff are given an induction training which provide them with basic skills to care for the residents with respect and dignity. The residents said that the staff care for them with respect and that they feel safe with them around. They said that they do not feel afraid to speak up or to ask for anything. There is always a good atmosphere in the home and residents and staff get on well together. The level of care staff with NVQ level 2 training has dropped to 42 . The manager said that this is due to 2 staff leaving. She said that 5 care staff are currently on the course. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 17 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): 33 & 38 Care practices promote residents’ best interest and their health and well being. Residents live in a safe home and are well cared for. EVIDENCE: The residents said that the manager is kind and helpful and that she is always available to see them. The residents said that they feel safe living at the home. They said that the staff are very caring. Staff training such as Moving and Handling, Fire Safety, First Aid, Food Hygiene and Infection Control are given to ensure the health and well being of the residents. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 18 Risk assessments of the building are carried out to ensure that the home is safe and that there are no hazards which could hurt the residents. Every resident is risk assessed to ensure that care provided is tailored and safe. The residents said that all the staff have their best interest at heart. They said that they are all kind and encourage them to be independent and live as good a life as possible. Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X 2 2 2 STAFFING Standard No Score 27 X 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 3 Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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. 2 Standard OP25 OP18 Regulation 23 13(6) Timescale for action All central heating radiators must 31/10/05 be fitted with low heat surface covers A policy and procedure on adult 31/01/06 abuse must be produced and appropriate training provided to staff 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. 3 Refer to Standard OP26 OP28 OP24 Good Practice Recommendations The laundry floor and walls should be renewed or repaired. 50 of care staff should achieve NVQ level 2 The ground floor toilet should be decorated Craigneil DS0000009708.V270345.R01.S.doc Version 5.0 Page 21 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.V270345.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!