Inspection on 18/10/05 for Cranlea

This inspection was carried out on 18th October 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

Cranlea 08/05/07

Cranlea 10/05/05

Cranlea 06/09/04

Cranlea 26/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Cranlea 1 Kingston Park Avenue Newcastle Upon Tyne Tyne & Wear NE3 2HB Lead Inspector Jackie Burke Announced Inspection 18th October 2005 09:30 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 Cranlea DS0000000439.V264755.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. Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cranlea Address 1 Kingston Park Avenue Newcastle Upon Tyne Tyne & Wear NE3 2HB 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) 0191 271 6278 0191 2869670 jackie.coulson@anchor.org.uk Anchor Trust Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: Cranlea is a purpose built residential care home, which provides en suite single accommodation for 39 older people over two floors. The care home has a large lounge, conservatory and dining room on the ground floor. There are a number of quiet seating areas, an additional lounge and two dining rooms on the first floor. In addition Cranlea offers a small library, a telephone kiosk and hairdressing facilities for residents. There are communal toilets located on each floor and residents have access to four bathrooms two of which have assisted bathing. Cranlea is located in Kingston Park to the north of Newcastle with access to local shops, churches, a GP surgery and public transport. Cranlea does not provide nursing care. Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the report of an announced inspection, which took place on Tuesday 18th October 2005. The inspection lasted for 5.45 hours and during that time the inspector spoke with 9 service users, 3 staff and the Anchor Project Manager and the newly appointed manager of Cranlea, Pat Hays. A tour of the building was undertaken. 9 comments cards from services users were returned. 5 comments cards from relatives/ visitors were returned. What the service does well: What has improved since the last inspection? Work has been done by staff to improve consultation with service users and to improve the range of activities available. Constructive time has been introduced whereby staff can spend time with individual service users on a one to one basis and people can choose which activity they wish to engage in. A food committee has been established to consult with service users and to develop menus. There has been a change in kitchen staff and the new chef circulates at mealtimes to develop further awareness of service users preferences and dietary needs. Cranlea DS0000000439.V264755.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. Cranlea DS0000000439.V264755.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 Cranlea DS0000000439.V264755.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): 3 People moving into Cranlea have their needs assessed and are assured those needs will be met. EVIDENCE: Care files examined during the inspection show that assessment is done before people move into Cranlea, in the majority of cases this is done by the care manager and an additional assessment is made by the manager of the home. In cases where people are self-funding the manager of Cranlea makes the assessment. Files examined contained documents relating to individuals needs assessment and the needs assessment informs the care planning process for each person. Cranlea DS0000000439.V264755.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): 7,8,9 & 10 Service users needs are set out in a plan of care. Health care needs are met in full. There is a policy in place to deal with medication, some people take responsibility for their own medication and this is recorded in care plans. Many service users feel that they are treated with respect. EVIDENCE: A cross sample of care files was examined during the inspection and confirmed that care plans are comprehensive and relate to people’s needs assessment. Residents and carers are encouraged to have input to the development of care plans and needs are reviewed on a regular basis. Identification photographs are being replaced on all care files with informal photographs of service users. During the inspection a review took place of one resident and her niece said she was very happy with the care that her relatives receive in Cranlea and it was a comfort to the family to know that they were well cared for. Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 10 “ You can’t please everyone but anyone who is not happy here must be very difficult” Care plans examined show that health care needs are monitored and referrals made to health professionals. Daily records provide up to date information on individuals needs. There is a satisfactory medication policy in place at Cranlea and staff that administer medication have been trained and records are accurately maintained. Observations on the day indicated that people were treated with dignity and respect. Some residents expressed concern that individual staff members were lacking in respect and that their manner was brisk. One lady spoke of an individual worker whom she was not keen on as she had an abrupt manner. Cranlea DS0000000439.V264755.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): 12-15 Some service users expressed concern that their social and recreational needs were not being met. Service users maintain contact with the community Service users are helped to exercise control and choice over their lives. Meals provided are of an acceptable standard however some service users expressed concern that meals were not appetising and that portions were small. EVIDENCE: A small number of service users expressed concern that their social and recreational needs were not being met however it seems that the emphasis on bingo is the main concern. There is a range of activities available in house at Cranlea, and a three-week activity rota is in place, links have been made with other homes in the area to improve involvement. Activities take place in the morning and evening and include games, quizzes, singing, reminiscence sessions, manicures and hand care, films and TV and bingo. Service users are consulted on the activities they wish to engage in and constructive time has been introduced in Cranlea where staff work on an individual basis with people Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 12 to enable them to go out to the local shops, for a coffee or to talk one to one as they choose. Individual preference is encouraged and people spoke of the enjoyment they got from the library and from reading in the sitting room. Visitors were observed to come and go freely during the inspection however security measures have been implemented since the last inspection and the front door is now locked and entry via an intercom. Service users are encouraged to exercise choice regarding sitting areas and daily routines, there is a residents committee and a food committee to enable service users to participate in decision making within Cranlea. Changes have taken place within the kitchen and the chef has input to the food committee and circulates between dining rooms at mealtimes; eats with service users to encourage dialogue regarding meals. On the day of inspection home made soup was on the menu and a choice of hot pot or ham & egg pie with carrots, green beans and mashed potatoes a cold dessert of fruit and ice cream was offered. Food was served in each dining room from a hot trolley and vegetables served in tureens in order that people can alter portion size accordingly. Food appeared hot and appetising. Some people passed comment on food saying that omelettes provided by the kitchen at tea- time were burnt and returned and a suitable alternative was not provided. This was discussed with the manager during the inspection and will be dealt with immediately. Service users are given a choice of cooked breakfast and lunch and at teatime the menu includes sandwiches and hot snacks, the menu operates on a fourweek rota and incorporates seasonal variations. Meals are offered at suitable intervals during the day and supplemented by hot drinks and biscuits in the morning and afternoon. Special dietary requirements are accommodated however one lady with diabetes said that she was not offered a suitable diet and would discuss this with her consultant. The food committee is an ongoing process whereby suggestions and complaints relating to food and menus can be aired and should be used to develop menus, which service users feel are satisfactory. Cranlea DS0000000439.V264755.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): 16 & 18 Cranlea meets the standards required in providing a complaints procedure. Information regarding advocacy is available for residents. There is a policy in place to deal with abuse and a commitment to training to promote awareness amongst staff of abuse and whistle blowing. EVIDENCE: Cranlea has a comprehensive complaints procedure and records examined and discussion with residents confirmed that this is active and that people know how to make complaints. CSCI contact details need to be amended on the complaints information. Two complaints have been made in the last 12 months both of which have been substantiated and responded to appropriately. One complaint is under investigation currently which relates to communication between staff and service users; this was discussed with the manager and reflects concerns expressed by service users. Cranlea has a comments book and compliments are recorded and passed on to staff. There is a whistle blowing policy and policies are in place to protect residents from abuse. Staff spoken to confirmed that they had attended training and had an awareness of the needs of vulnerable adults. Regular supervision is provided to staff at Cranlea where issues are discussed and concerns may be raised. Cranlea DS0000000439.V264755.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): 19- 26 The home was found to be well maintained providing a pleasant environment for those who live at Cranlea. EVIDENCE: There is a large lounge area downstairs as well as a choice of smaller seating areas located on the first floor; a pleasant conservatory and garden is located to the rear of the house. Residents have a choice of dining rooms on the ground and first floor and are encouraged to bring their own furniture and to arrange their rooms to suit them. Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 15 All rooms in the home have natural light and ventilation and restrictors are fitted to windows. There are facilities available for people to have a fridge and kettle in their rooms following appropriate risk assessments. The building is suitably equipped with toilets and bathrooms and all rooms have en suite facilities. There is a passenger lift available for people with mobility difficulties. Cranlea is a pleasant clean environment, which is free from offensive odours. Cranlea DS0000000439.V264755.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): 27-30 The number and skills of staff on duty is sufficient to meet the needs of service users. Residents are in safe hands and are protected by recruitment and selection procedures. EVIDENCE: There are 25 care staff and a further six seniors in addition to management staff in the home. Four care staff and two seniors cover early shift and late shift during the day with three care staff and a senior covering the night shift. 15 staff are qualified to NVQ level 2, a further 7 staff are working toward level 2. The manager Pat Hays has been newly promoted from deputy manager and has completed her application to commence the Registered Managers Award. There is a commitment to training within the home and all staff are encouraged to participate in relevant training. Mandatory training is provided for all staff and future training plans include “Dining with Dignity” and Dementia Care. Regular supervision is provided to all staff, supervision is delegated to senior care staff via staff teams and supervision records are maintained. Cranlea has additional kitchen and domestic staff on site. Staff files examined confirmed that satisfactory recruitment procedures are in place and interview records are kept. References are sought for all new employees and the required checks have been followed up and records kept. Cranlea DS0000000439.V264755.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): 31,33,35 & 38 Residents live in a home, which is run and managed by a person who is of good character and is able to discharge her responsibilities fully. Pat Hays is newly appointed as manager and has applied for registration with CSCI. Financial interests of service users are safe guarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager has been newly appointed to the post however has worked for some time as deputy within Cranlea and has considerable experience. Pat Hays has sound knowledge of the working of the home and a support system in place within Anchor and will use this to benefit service users. Pat has applied to undertake the Registered Managers Award and has applied for registration with CSCI; she is committed to training and to developing her staff team. Discussion during the inspection confirms that the manager is aware of Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 18 principles of good practice and is committed to applying this in the management of her staff team and is keen to discuss and implement suggestions arising during the inspection process. Staff are provided with regular supervision and satisfactory records are kept. Quality Assurance questionnaires have been developed and are used at 6 monthly intervals and comments books have been introduced to determine views of residents and families. Cranlea has administrative support and files are well maintained. Financial records are maintained and receipts kept for individual accounts; Cranlea is in the process of setting up a resident payment account to further safeguard the financial interests of residents. Information relating to health and safety records was submitted prior to and examined during the inspection and complies with requirements. Fire drills are undertaken regularly and fire alarms tested weekly. Cranlea DS0000000439.V264755.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 20 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 2 Refer to Standard OP12 OP15 Good Practice Recommendations Consultation should be undertaken to ensure that routines for daily living are flexible and varied to suit service users expectations, preferences and capacities Service users should continue to be consulted via the food committee and quality assurance process to improve satisfaction relating to menus. Cranlea DS0000000439.V264755.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Cranlea DS0000000439.V264755.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!