Inspection on 02/10/07 for Cranmer House

This inspection was carried out on 2nd October 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

Cranmer House 04/09/06

Cranmer House 14/03/06

Cranmer House 20/12/05

Cranmer House 19/01/05

Cranmer House 26/07/04

Cranmer House 06/01/04

Cranmer House 08/09/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Cranmer House Cranmer House Norwich Road Fakenham Norfolk NR21 8HR Lead Inspector Unannounced Inspection 2nd October 2007 09:50 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 Cranmer House DS0000035495.V352267.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. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranmer House Address Cranmer House Norwich Road Fakenham Norfolk NR21 8HR 01328 862734 01328 856228 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) www.norfolk.gov.uk Norfolk County Council-Community Care Kirsty Dianne Grand Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate up to 20 older people. Of these 18 places will be for periods of no more than six weeks. Of these 2 places will be for the permanent care of 2 named residents. Of these 2 places can be for people who have a diagnosis of dementia. No further long term admissions can be made to the home. 2. Date of last inspection 4th September 2006 Brief Description of the Service: Cranmer House is a 21-bedded home, run by the Local Authority in conjunction with the Local Health Trust as a joint provider Unit( JPU). The residential portion of the building only is subject to inspection by the Commission for Social Care Inspection. The Home is situated close to the centre of Fakenham and all local amenities. The home consists of a two-storey building, with the residential care unit being located on the first floor. All bedrooms provide single occupancy with en-suite facilities. Some communal facilities, including the dining room, are located on the ground floor that is accessed via a shaft lift. The home has a newly resurfaced car park, gardens to the front and an enclosed garden. All are accessible to residents. The fees are £368.72 a week and the only extra cost is hairdressing as displayed in the hairdressing room. Newspapers, activities and medical requirements are free of charge. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and current judgements for each outcome. What the service does well: What has improved since the last inspection? What they could do better: The staff team as a whole should continue to consider ways in which the service can be further improved and in so doing might consider if the current levels of activity are an area for development. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 6 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. Cranmer House DS0000035495.V352267.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 Cranmer House DS0000035495.V352267.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): 1,3 and 6 Quality in this outcome area is good. Prospective users of the home can be confident that their needs and wishes will have been assessed and that they will have the necessary information about the home available to them. This judgement has been made using available evidence including a visit to this service. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 9 EVIDENCE: The site visit confirmed that since the last inspection there has been a significant change in that the service only provides respite care, with the exception of one permanent resident who has chosen to stay. Discussion with the service manager and inspection of six pre admission assessments confirmed that the admission process is sound with all necessary information in place. Wherever possible someone from the service carries out a preadmission assessment visit and information about the home is provided at this time. The homes service user guide has been updated and this and other information is provided in every bedroom. The records seen showed that where someone is having repeat care the home seeks information about any change in needs to ensure that they have an up to date picture. Within the home is an intermediate care unit and during the site visit the inspector spoke to residents using the service , staff working there and looked at care plans. From this it was judged that the service is effective in helping to maximise peoples independent living skills and confidence in preparation for living independently. Cranmer House DS0000035495.V352267.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 and 10 Quality in this outcome area is good. People using Cranmer House benefit from good care plans, a sound approach to medication and health and staff who respect their dignity and privacy. This judgement has been made using available evidence including a visit to this service. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 11 EVIDENCE: As the home now only operates for respite care the care plans seen were less extensive than would be found for long term residents. Nonetheless all plans seen were of a good standard indicating good assessment, involving the user and giving clear guidance to staff. Examination of the systems for medication storage and administration and management, indicated that there is a suitably robust system in place. From discussion it was clear that there can be difficulties in respect of how people bring their medication to the home, however any problems are swiftly addressed and the home clearly has a good working relationship with local doctors and health professionals. Written feedback and discussion with residents on the day showed that people feel well looked after with their dignity and privacy protected by staff. It was noted by the inspector that the resource’s room was set out for a training session/debate about dignity which was indicative of a service where best practice is to the fore. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. That residents benefit from a relaxed and open home where they can exercise freedom of choice on a daily basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As a home offering short term care there is perhaps less in the way of regular activity and stimulation, although people spoken to did not feel this was an issue and this was not raised as a concern in the written feedback received. The atmosphere found at the site visit was relaxed and feedback from relatives and visitors indicated that they felt welcome and that they were kept well informed about any issues that affected people. The feedback about the food served was generally positive although recent menu changes had provoked negative comment. This was discussed with the homes manager and it was clear that steps were in hand to address this with the cook and their wider management. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. That people benefit from an approach where a sound complaints system and good awareness of adult protection helps to ensure their safety and wellbeing. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector looked at the services complaints record and discussed this with the manager. The record contained very well documented complaints with indications of a robust approach . Thorough investigation and action had been taken in response to the complaints seen. People spoken to were confident that should they need to, they could complain freely confident that any concerns would be addressed. The provider has a thorough approach to safeguarding and protection and inspection of records showed that policy and procedure is supported by staff training. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. That people benefit from a good quality environment suitable for their needs, clean and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service operates from a building which is well maintained and in line with national standards. During the site visit a tour of the premises was undertaken and all areas seen were clean , comfortable and in good order. Discussion with people on the day confirmed that this is how the home normally is. The service is lucky to have an active friends group who fundraise for improvements and an example seen was the provision of new flat screen televisions for all bedrooms. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is excellent. People using the home benefit from staff who are good at their jobs, well trained and available in sufficient numbers to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written feedback received in advance of the inspection indicated that people value highly the input that they receive from staff and feel they are kind, caring and competent. Observation and discussion on the day of the site visit confirmed this. Staff spoken to exhibited pride in their work and the home as a whole. One person with substantial experience in the industry stated that this was the best home by far she had worked in and that she had learnt more in a year at the home than in the rest of her career. Training records demonstrated that there is an excellent approach in this area with support given for people to improve their knowledge and skills. Employment processes are robust and as such offer protection based on records inspected and discussion on the day. Staff confirmed that they felt there were enough of them to offer a good service and this was consistent with the inspectors judgement. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 16 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 and 38 Quality in this outcome area is excellent. The home is effectively managed and operates in the best interests of those living there. This judgement has been made using available evidence including a visit to this service. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 17 EVIDENCE: Written comment received in advance of the inspection indicated that people feel that the home is of good quality and well managed. Discussions, inspection of records and observation on the day confirmed the picture of a service that is achieving excellent outcomes in this area. The home has a good quality assurance system and takes the opportunity to canvas the views of people using the service on a regular basis and uses those views to seek improvement. The provider has a sound approach to health and safety with all necessary policies and procedures in place. Staff spoken to felt that they were well managed with good support and supervision and that the manager displayed leadership with a clear vision and a desire for high standards. Cranmer House DS0000035495.V352267.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 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 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x 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 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 19 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. Refer to Standard OP12 Good Practice Recommendations That the service management review the provision of stimulation and activity provided for residents to ensure that they are maximising opportunities for those cared for. Cranmer House DS0000035495.V352267.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Cranmer House DS0000035495.V352267.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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