Inspection on 19/09/07 for Cranford Residential Home

This inspection was carried out on 19th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Cranford Residential Home 23/06/06

Cranford Residential Home 24/01/06

Cranford Residential Home 22/07/05

Cranford Residential Home 08/10/04

Cranford Residential Home 24/06/04

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 Cranford Residential Home 637 Warrington Road Rainhill Merseyside L35 4LY Lead Inspector Mrs Lynn Paterson Key Unannounced Inspection 10:00 19 September 2007 th 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 Cranford Residential Home DS0000022401.V338289.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 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. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranford Residential Home Address 637 Warrington Road Rainhill Merseyside L35 4LY 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) 0151 4266308 0151 4266415 Cranford Care Homes Limited Mrs Diane Elaine Jones Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 24 (OP) The service should, employ a suitably qualified and experienced manager who is registered with the CSCI. 23rd June 2006 Date of last inspection Brief Description of the Service: Cranford Care Home is registered to accommodate a maximum of 24 older persons who need assistance with their personal and social care. The accommodation is provided over two floors, the upper floor being accessible via a passenger lift. The home comprises 5 double and 14 single bedrooms none of which have en-suite facility, three communal lounge areas, a dining room and conservatory, which overlooks the rear garden. Fees charged are currently £359.00 - £371.00 per week. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Cranford Care Home was carried out on 19th September 2007 and was undertaken on an unannounced basis. Information about the home was obtained through a pre inspection questionnaire and examination of the homes polices, procedures, care plans and other relevant documentation. Discussions took place with the people living in the home and their representatives and the deputy manager and staff of the home. A tour of the premises also took place and observations made of the interactions between staff and the people living in the home. What the service does well: Full assessments of need are carried out prior to any service being offered and care plans drawn up to ensure that all assessed needs are identified and met. The home provides flexible routines to ensure that people living there can exercise full choice about their daily living. People living in the home said that staff are `kind, courteous and helpful and comments include; “The staff are very good, they are kind and treat us with dignity and respect”; “The staff treat us very well, it is like one big family here”; “I like it here the staff are so very kind and talk to us all the time. So does the owner he seems to really care about us”. “Staff are great and the food is just wonderful and we get choices all the time”. Staff said they enjoy working at the home and feel valued by the people who live there. Staff said they are encouraged to attend training to make sure they can meet all individual needs of the people living in the home. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 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 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3.6. Quality in this outcome area is good People who live in the home are only provided with a service after their needs are assessed and they have been assured assessed needs will be met This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show an assessment of peoples care needs is carried out prior to a placement being offered to make sure that the home can accommodate individual needs. The deputy manager said that this assessment occurred to ensure that issues relating to equality and diversity to include age, disability, gender, race, religion and sexuality were addressed to enable all individual needs to be recorded and care packages arranged accordingly. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 9 Care files viewed held clear risk assessments to ensure the safety and welfare of the people who lived in the home and it was noted that each risk assessment had been reviewed and updated as required. Staff advised that the homes pre assessment policy was to encourage people who were considering coming to live there to visit for a trial period, perhaps come for lunch or stay for a day to get to know the other people living in the home and familiarise themselves with the environment. Staff said that this visit enabled them to further assess people’s people’s needs within the care home setting. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10 Quality in this outcome area is good, People who live in the home are treated with dignity and have their social and health care needs monitored and met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans viewed were clear and held a detailed plan of individual care and support needs and held guidance for staff as to how to provide this. Staff said that care plans were drawn up within two weeks of the person being accommodated at the home and all issues relating to diversity for example religious needs were addressed and plans put in place to ensure that everybody living in the home had choices about how they lived their life. Care plans fully documented health care needs and held detailed records of people’s daily welfare. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 11 People living in the home said they regularly see health care professionals such as General Practitioners, chiropodist or district nursing staff and say that is they need extra visits they tell staff who will arrange it as a matter of urgency. Care plans seen were clear and detailed and written in a descriptive form to ensure that all needs were identified and plans put in place to ensure that care and support was carried out in a way that retained peoples dignity and privacy wherever possible. People living in the home said their care plans were an accurate reflection of their needs and they advised that the plans are reviewed with them on a monthly basis to make sure that changing needs can be addressed and met. People living in the home said they feel happy and contented in the home and like the staff very much. Comments include; “The staff are kind and helpful and treat us all with respect”, “We are very well looked after, it is like one big family here, and we all care about each other” “The staff are very good, they work very hard to make sure we are all looked after well” “The staff care about us and they want to know if we are alright. They are so kind and the owner is nice as well. He comes to visit and always asks us how we are and sits and talks with us”. Records show that the home has regular residents meetings in which they are asked to give their views about the services provided in the home and if things could be improved upon. The homes medication policy gives clear instruction on how medication should be managed and details how and when medication should be administered. People living in the home said they were given choices as to if they wished to manage their own medication but records show that no one was currently self –medicating. Staff said they had received training in relation to medication and the training was updated annually. Records examined revealed that medication was well managed and people living in the home were provided with their medication as prescribed by their GP. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 12 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15. Quality in this outcome area is good. The routines in the home are flexible to enable the residents to have full choice about their daily life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The activities programme revealed that activities are provided each day to enable people to join in if they wish. People living in the home said they knew what was on each day and activities included armchair exercise, bingo; pamper days, quiz games and entertainment. At the time of the visit a group of residents were observed playing dominoes and when asked they said that they really enjoyed playing this game which generally lasted all afternoon. Some residents said that they participated in a few activities but would like more outings to be arranged. This was discussed with the deputy manager who said that due to the very small amount of people who wished to or were able to Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 14 participate in outings it was difficult to arrange. However she said that this would be discussed at the next residents meeting to enable some arrangements to be made for future outings. Residents said that in general they were able to go about their day as they pleased and people were observed meeting with their visitors, enjoying activity, watching television, looking around the garden and having resting time within their bedrooms. Everybody spoken with said they were generally happy and contented in the home in which they said, “felt like one big family”. Documents viewed revealed that a varied menu is in place and residents said they very much enjoyed the meals and had plenty to eat and drink at all times. Comments about the food include; “The food is always wonderful I don’t know how she does it”, “I can say that I have never had a bad meal since I have been here and that’s some time now”, “The food is well prepared and always tastes so good”. The cook advised that she ensures the residents are provided with a varied menu and in discussion she identified that she had excellent knowledge of the food preferences and dietary needs of all the people living in the home. Lunchtime was observed and it was noted: The dinning room had been refurbished to include re decoration, new tables and chairs and flooring and was warm, comfortable and welcoming. Meals were presented well and appeared appetising and wholesome. Residents were seen to “tuck in with great gusto” and enjoy their food. Cutlery, crockery and condiments were matching and in good order. A sample of the menu was tasted and it certainly was as good as it looked. Then kitchen was seen to be clean, tidy and well managed at the time of the unannounced visit. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 15 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18. Quality in this outcome area is good, Systems in place for the protection of residents from harm and abuse are robust and ensure the people living in the home are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre inspection documents indicate that the home has not received any complaints within the last 12 months and records show that no concerns have been received by CSCI. Documents viewed show that a complaints policy is in place and residents spoken with said they had full awareness of the policy and or what to do in the event of they having to make a complaint. People livings in the home and their representatives said they were constantly asked for their opinions about the services provided in the home by the home manager and staff and did not feel in the slightest bit afraid to air their views. They said that the home- owner was also very keen to speak with them about how they were treated by staff and if they liked the services provided. As a consequence people said they felt they were listened to and taken seriously by the people responsible for the service provision in the home. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 17 In discussions staff demonstrated they had received training in the Protection of Vulnerable Adults and fully understood the various forms of abuse that can occur. Staff revealed they knew what actions they should take in the event of suspecting or knowing an incident of abuse had happened. Staff records show that Adult protection training is provided on an annual basis and all staff is required to attend. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19.26. Quality in this outcome area is good, Home standards are good and the premises well maintained to provide a safe environment for the people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The overall standards of the premises are good with the home benefiting form an ongoing refurbishment programme to include redecoration and re furnishing of the communal rooms. The home environment is of warmth and comfort and fabrics and furnishings have been arranged to minimise any institutional appearance. The home has a large rear garden, which had recently been redesigned to enable residents to use “weather permitting”. The area was tidy and well maintained and contained a garden bench and seating and various bird and Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 19 squirrel feeders, which residents could look at whilst sitting in the conservatory area of the home. The interior of the premises appeared well maintained and all essential service records revealed that services and testing had been carried out as required to ensure the general safety of the building. All bedrooms were adequately furnished and appeared comfortable and clean. Bathrooms and toilets were sufficient to accommodate the number of people living in the home. It was noted that the ceiling to the front extension toilet had been marked by a water leak, which is now in need of repainting. The laundry was clean and tidy and held sufficient equipment, which was situated to prevent the spread of infection. The home was clean and tidy and it was noted that the floor coverings had been replaced in certain areas to ensure that the areas could be thoroughly cleaned to eliminate any unpleasant smells. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28.29.30. Quality in this outcome area is good. Staff recruitment selection and training programmes ensure suitably qualified and competent staff is employed in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff records show that staffs have completed a range of training within the past 12 months. The deputy manager advised that staff training is an ongoing process in the home and much training is planned for the forthcoming year. Care plans show that some residents experience short-term memory loss and or dementia and staff advised that they have received training to enable them to understand and fully support their care needs. Three staff files were viewed and all three were well managed and held all the necessary information, references and checks. Records of the staff interview process were clear and detailed that the interviews were fair and equal to include standardised questions and scoring systems. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 21 Staff said they were provided with induction training when they were first employed and enjoyed ongoing training thereafter. Records show that staff turnover is low and all staff spoken with said they enjoyed their work and felt valued and supported in their role by the manager and the owner of the home. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35.38. Quality in this outcome area is, good, The home is managed in the best interests of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has achieved a registered managers award and has much experience of the care delivery systems having worked in Residential care for many years. The deputy manager also has many years experience of caring for older people and is nearing the end of her NVQ4 care managers award. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 23 Both the manager and deputy acknowledge the need for them to attend ongoing training to enable them to keep up to date with their knowledge and skills. Staff said they had clear lines of accountability and they were afforded good support and supervision from their line managers. Documentation provided by the home indicated that a range of policies and procedures had been updated and care planning paperwork had been reviewed and amended to ensure all information about people living in the home was in place to ensure services were provided to meet individual need. The services are monitored by quality assurance questionnaires, feed back forums from residents meetings, staff supervision and the registered provider visits. The administrator takes responsibility for the financial viability of the home and the manager holds responsibility for the management of resident’s daily financial transactions if required. Resident’s health, safety and welfare are promoted by staff making stringent safety checks to include fire systems, hoists, electrical wiring and equipment being regularly serviced and maintained. Staff revealed they are provided with health and safety training, which is an ongoing process of the home. Staff said they feel valued and supported by the management team. People who live in the home said they feel safe and supported by staff that they say, “provide a lovely safe place for them to live”. Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 24 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. 1 Refer to Standard OP12 Good Practice Recommendations It is suggested that the activities programme includes the provision of outings and trips for the people who live in the home. It is suggested that the ceiling in the front extension toilet is painted to cover the watermarks currently on view. OP19 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Cranford Residential Home DS0000022401.V338289.R01.S.doc Version 5.2 Page 27 - 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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