Inspection on 20/07/05 for Crantock Lodge

This inspection was carried out on 20th July 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

Crantock Lodge 06/01/09

Crantock Lodge 06/03/07

Crantock Lodge 09/02/06

Crantock Lodge 11/01/05

Crantock Lodge 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Crantock Lodge 34 Bonython Road Newquay Cornwall TR7 1RA Lead Inspector Elaine Bruce Unannounced 20 July 2005 09:00 a.m. 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 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. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Crantock Lodge Address 34 Bonython Road Newquay Cornwall TR7 1RA 01637 872112 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Carole Linda Taylor Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To increase registered numbers by one to accommodate one named person only (temporary). Date of last inspection 11th January 2005 Brief Description of the Service: Crantock Lodge is registered for ten service users within the category of old age. Service users are admitted on the basis that they are of low dependency need. The home provides accommodation on two floors in a dormer bungalow style: the first floor is accessed by a stair lift. The home is situated on level ground within a few hundred yards of local amenities. There is good communal space in the home to include a dining room, lounge and garden room. Some of the bedrooms in the home have en-suite facilities and sea views. Parking is available in the drive at the home. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and was carried out as an unannounced inspection. All the service users were spoken to during the course of the inspection. Staff files and care plans were inspected. The registered provider was present at the inspection and was spoken to during the course of her active involvement in care delivery. What the service does well: What has improved since the last inspection? The inspection report of the 11th January 2005 had identified that care plans were not up to date and because of this it was difficult to establish if the care needs of the service users were being met. The registered provider has worked very hard to address these points and considerable progress has been made with care planning which is a credit to her. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 standard(s) 2,3 and 4 The registered provider assesses all service users prior to admission to the home to ensure that the home will be able to meet their care needs. Contracts of care are issued to the service users detailing the services that will be provided to them. EVIDENCE: Each service user is provided with a contract of care which details the terms and conditions of their placement as well as the weekly fee amount. A copy of each service user contract is held on the service user file. All potential service users are assessed prior to admission to the home by the registered provider. Generally, the care needs of the service users being admitted to the home are of low dependency. The pre admission assessment document is detailed to include all the information the home requires to ensure that they can meet all the care needs of the service user being admitted to the home. Staff employed at the home receive regular statutory and good practice training to enable them to meet the care needs of the service users. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 9 Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 10 The service user’s health, personal and social care needs are being met by the staff and multidisciplinary staff as required. EVIDENCE: Considerable work has taken place with care planning documentation since the inspection report of the 11th January 2005. This is a credit to the registered provider who completes all the care planning documentation. Each service user has in place a detailed care plan which identifies care needs and how these are being met. The care plan identifies all religious, cultural and social needs with information included on dietary needs and requirements. Mental health assessments are in place and a general risk assessment is also in place. Evidence is in place of monthly reviews taking place. The care plans identify the health care needs of the service users with evidence of health care professional involvement for example chiropody and optician visits. One of the service users has recently been assessed by the parkinsons nurse specialist. The service users are regularly weighed. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 11 During the course of the inspection all the service users spoken to gave very positive comments on the standard of care delivery at the home. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 The good level position of Crantock Lodge enables independent service users to access the nearby local facilities. EVIDENCE: The social needs, cultural interests and religious observance of the service users are identified in care planning. The care plans detail a full history of the service user to include their interests and hobbies. The daily diaries that support the care plans identify that the social care needs of the service users are being met. The main meal of the day is a very sociable occasion with the registered provider joining the service users. On the day of the inspection the hairdresser was busy in the home. Observation of the interaction between the service users and the staff (to include the registered provider and her husband) was very positive and contributes to the very pleasant environment at the home. Some of the service users are independently mobile taking time out of the home to go for a walk or nearby to the local shops. The home is well placed for these opportunities, being on level ground and having amenities close by. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 13 The kitchen was not inspected on this occasion but the records of the meals provided were and these evidence that the service users are very involved in the choice of food being provided. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16 and 18 The home has a satisfactory complaints procedure provided to the service users and their representatives in the statement of purpose document. All staff have been provided with adult protection training to give them the knowledge and understanding of adult protection issues to protect service users from abuse. EVIDENCE: A complaints policy and procedure is available to all service users in the statement of purpose document. The documentation clearly explains that the home will address any complaints they receive in writing within 14 days. The home has in place an adult protection policy and procedure to include information on whistle blowing. The policy and procedure is readily available for staff to read as required. All the staff employed, and the registered provider have undertaken adult protection training via the local social services department. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19 Crantock Lodge is a very comfortable, very well maintained property providing a safe and pleasant environment for the service users. EVIDENCE: Crantock Lodge is a very well maintained home externally and internally. Improvements are ongoing and presently include adding the provision of a library for the benefit of the service users. In addition bathing facilities are being upgraded and all bedrooms now have en-suite facilities. All furniture and fittings are of a very high standard. It is noted that radiators are continuing to be guarded for the safety of the service users. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Staffing levels are appropriate to meet the needs of the service users. Staff training is regularly ongoing to ensure that the staff have the skills to care for the service users. EVIDENCE: There are at all times two staff members on duty in the home. During the night the registered provider (and her husband) provide sleeping in cover where a service user could call them if necessary. Generally the service users at the home have low dependency care needs that do not require assistance at night. Staff are receiving statutory training to include fire drill training, moving and handling and first aid. In addition good practice training is taking place to include caring for service users with diabetes. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 35 Crantock Lodge is a small homely home with an actively involved registered provider who ensures that good standards are maintained. EVIDENCE: The registered provider has been at Crantock Lodge for over four years with a large number of years prior to that in the care business. She has recently registered to study for the registered managers award qualification. She is actively involved in the delivery of care (as on the day of the inspection) as well as the administration duties associated with the running of the home. Her husband undertakes maintenance duties at the home. All the service users take responsibility for their own financial affairs (or their relalative/representative. Consequently, the registered provider does not have any financial responsibilities on their behalf. Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 x x x Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 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. 1. 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 Good Practice Recommendations Crantock Lodge D52-D04 S8943 Crantock Lodge V227857 Unn 200705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell, Cornwall PL25 4AD 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. 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