Inspection on 02/05/07 for Cranbourne House

This inspection was carried out on 2nd May 2007.

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

Cranbourne House 01/05/08

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Cranbourne House 52 Yarm Road Stockton on Tees Cleveland TS18 3PF Lead Inspector Val Daly Key Unannounced Inspection 2nd May 2007 09:30 Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 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 Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 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 Adults 18-65. 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. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranbourne House Address 52 Yarm Road Stockton on Tees Cleveland TS18 3PF 01642 634597 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 J Matthews Mrs Mary Matthews Mrs Mary Matthews Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection Brief Description of the Service: Cranbourne House is registered with the Commission for Social Care Inspection under the Care Standards Act 2000 as a care home providing care and accommodation for 3 adults who have a mental disorder. The home is situated in a busy residential area, near to the town centre of Stockton and is indistinguishable from other homes in the road. It is a large house, well maintained and provides a pleasant and safe environment for the people that live there. Residents at the home are encouraged to live as independently as possible and have developed a high degree of autonomy in their lives. Residents are encouraged in everyday activities and domestic tasks but emphasis is placed upon development and retention of skills. The weekly fees are £350 Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by an inspector over one day. As a key inspection, all of the key standards were examined. A tour of the home took place, residents records were examined, records including accidents, complaints and menus were looked at and two residents, a member of staff and the manager were engaged in discussion about life at Cranbourne House. Whilst this was the first inspection of the home it was in effect a house move. The residents had previously lived in a care home in Middlesbrough owned by the same proprietors. Staff and residents all moved together into their new home. The Commission for Social Care Inspection sent two questionnaires to the home for residents and relatives to complete. They were both completed with support from staff. The responses to the questions were all positive and there were no additional comments made. What the service does well: What has improved since the last inspection? This was the first inspection. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident’s care needs are assessed prior to the move to the home, and periodically thereafter. This will help ensure that each resident’s needs are met at the home and inappropriate admissions avoided. EVIDENCE: Two residents files were examined and they both contained a full detailed assessment of needs. The prospective resident is introduced initially by their social worker. The home manager then carries out her own assessment, gathering information as to their needs, consulting other health professionals as needed. The manager said that the admission process usually takes four months. The prospective resident goes to the home, the first few visits are for meals and to be introduced to other residents. The visits are built up and the prospective resident then has overnight stays in the home. Residents and staff are asked for comments during the process to ensure the new resident will ‘fit in’ and their needs can be met. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Residents are involved in their individual plans of care depending on their ability. The key worker carries out reviews and one to one discussions take place with the resident. Each resident has individual risk assessments depending on their needs and activities that they carry out. The risk assessments are detailed and are either reviewed annually or as the situation changes. However this information is kept in a separate file along with old information. All current information for the residents should be kept together for ease of access. The residents are aware of the risk assessments and take part in the reviews if they are able or wish to. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their lifestyle, and supported to develop their life skills. Social and recreational activities meet individual’s expectations. EVIDENCE: At the time of the inspection there were two residents living in Cranbourne House. They both happily discussed how they spent their days and their interests and activities. One resident talked about his gardening work, which he does with a male member of staff. He clearly enjoys this and it also has a positive effect on his health as he is keeping himself ‘fit’. Both residents also enjoy socialising with friends at the ‘sister home’, which is just further down the road. Quite often friends from the ‘sister home visit and share meals at Cranbourne. There are regular outings, which can be trips to the town, pictures or local pubs with staff or one of the proprietors takes residents on further trips in a people carrier. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 11 Redcar, Whitby, Scarborough, Lealholm, Egton Show, Danby Show are some of the places they visit. The proprietors also provide holidays at a caravan at Primrose Valley. Residents are taken in small groups and only need some spending money. During discussions with residents and staff it was noted that there was a very good rapport between everyone. Staffs are respectful towards residents and are aware of their individual rights in their daily lives. The menus showed that a variety of home cooked food is offered to the residents. The main meal is at teatime with examples of meals such as; fish, steak pie, mixed grill, cottage pie. For those residents who are home at lunchtime, snacks such as Fish fingers, pizza, and omelettes are available. If residents do not like any of the food on the menu they only need to ask the cook and she will make an alternative. Food is often a topic discussed in residents’ meetings and suggestions for changes are encouraged. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The care plans examined detailed the personal support needed and given. All residents in the home have their own General Practitioner. A Community Psychiatric Nurse visits one of the residents monthly and he is on a full care programme approach six monthly. Each resident receives support from staff to the level that they choose and require. Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. Examination of medication administration records showed that the procedures were being followed. At the time of the inspection there was one resident who managed his own medication and a risk assessment was in place. He has diabetes, and with staff supervision he checks his own blood sugar in the mornings and self-administers his insulin. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to an effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: The home has a complaints procedure and policy in place. However this needs to be updated to include the Contracts and Commissioning department of the Local Authority. There had not been any complaints made to the home. Staff work very closely with the residents and any concerns or grumbles are usually dealt with straight away. The key worker spends time with his or her resident each week specifically to ask about any concerns. Both of the residents spoken to said they could easily talk to staff in the home if they were worried about anything. The home has an adult protection policy and procedure in place. A member of staff interviewed knew the process to follow in the case of suspected abuse. Staffs training files were examined which showed that training in ‘No Secrets’, the protection of vulnerable adults had been completed. Information about adult protection is available to residents. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical layout of the home enables people who use the service to live in a safe well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home opened in late February 2007. It is very comfortable and homely. A tour of the home was carried out with a resident and the manager. On the ground floor there are two large reception rooms, dining room, kitchen and utility. On the first floor there are three bedrooms for the residents, all of which have a wash hand basin. At the present time there are two bathrooms. The manager said there is some more conversion work to be carried out to make the bedrooms en suite with either a shower or bath, depending on the resident’s choice. The bedrooms are large and contain the resident’s personal possessions. One resident proudly showed off his bedroom and the furniture he had chosen. There are further rooms on the second floor, however these are not for occupation at the moment and residents are unable to access them. The home was very clean and odour free. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The home has recruitment policies and procedures in place. Two staff files examined showed that the home’s policies are being followed and all the required documentation was in place. There is a mix of female and male staff in the home. The manager said that part of the selection and interview process for staff is noting how the prospective member of staff interacts with the residents during their time in the home. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 16 Staffs receive induction training, however this could be developed further to run alongside ‘Skills for Care’ induction programme. Staff training files were examined which showed training had been carried out in Food Hygiene, Nutrition, Adult Protection, Health and Safety, Safe Handling of Medication, First Aid and Fire Training. At the time of the inspection almost 100 of care staff had achieved NVQ level 2 or above. The manager said that she encourages staff to undertake training and at the time of the inspection a representative from a training agency was in the process of introducing further courses for the staff. The home has a formal supervision system in place with staff receiving supervision every eight weeks. The manager said that training needs are identified during supervision, which was confirmed by a member of staff during interviews. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect EVIDENCE: The home is well run, by management and staff who know the residents well. Residents were comfortable and relaxed in their home and both said they felt able to give their views and be listened to. One to one discussions take place with their key workers and larger meetings take place with the ‘sister home’. There are regular staff meetings both within the home and in a larger group with staff in the ‘sister home’. The manager is also available to speak with residents and staff on a daily basis. The home has health and safety policies and procedures in place. Training files showed that staff has received training in health and safety Residents receive good support from staff to ensure that their personal, physical and emotional health needs are met. Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action 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 YA22 YA35 Good Practice Recommendations Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cranbourne House DS0000068962.V338314.R01.S.doc Version 5.2 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. 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