Inspection on 06/03/07 for Crantock Lodge

This inspection was carried out on 6th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 09/02/06

Crantock Lodge 20/07/05

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 3AN Lead Inspector Alan Pitts Unannounced Inspection 6th March 2007 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 Crantock Lodge DS0000008943.V325929.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. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crantock Lodge Address 34 Bonython Road Newquay Cornwall TR7 3AN 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) 01637 872112 carolendave@crantocklodge.wanadoo.co.uk 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 DS0000008943.V325929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit one named service user in the category DE(E) MD(E) Total number of service users not to exceed a miximum of 10 Date of last inspection 9th February 2006 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, library, and garden room. Nine single bedrooms in the home have en-suite facilities and sea views. There is one shared room. Parking is available in the drive at the home. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over approximately 4. hours on 6th March 2007. The inspector spoke with the registered provider and her husband, 4 service users, staff, toured the premises, and inspected documentation. Crantock Lodge is an established small home with an established staff team, and the benefits to the residents are evident in the individual attention provided (as confirmed by the residents). What the service does well: What has improved since the last inspection? What they could do better: The registered provider could make more use of quality assurance questionnaires, extending their use to visitors and health professionals. Crantock Lodge DS0000008943.V325929.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. Crantock Lodge DS0000008943.V325929.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 Crantock Lodge DS0000008943.V325929.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): Quality in this outcome area is good. National Minimum Standards 3 and 6 were inspected. This judgement has been made using available evidence including a visit to this service. The registered provider is proactive in ensuring the residents are well informed. Prospective residents may visit the home prior to making a decision about admission. The home does not offer intermediate care. EVIDENCE: The inspector examined care documentation and spoke with residents and staff. Most of the residents at Crantock Lodge have lived there for some years now. The home has a Statement of Purpose and Service User Guide, which are provided to all the residents. The residents confirmed that there are frequent informal meetings when the registered provider informs them of any likely changes or events that may affect their lives at the home. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 9 The registered provider takes an active roll in ensuring that prospective residents have an opportunity to visit the home, and works closely with families and other agencies to ensure that all parties are happy with the placement. Admissions to the home only take place if the registered provider is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. The registered provider considers the application together with the resident and/or their representative, and other relevant agencies. The home does not offer intermediate care. Crantock Lodge DS0000008943.V325929.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): Quality in this outcome area is excellent. National Minimum Standards 7, 8, 9, 10, and 11 were inspected. This judgement has been made using available evidence including a visit to this service. The registered provider has put a lot of effort into improving the care plans. Medicines are handled and administered safely. The registered provider maintains a close relationship with the residents to ensure that their care needs are met, and their wishes known. EVIDENCE: The inspector spoke with the registered provider and residents, and inspected the care documentation. Each resident 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, and, where possible, resident involvement in this process is clearly recorded. Feedback and Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 11 involvement is a continuous ongoing process, staff spend time with individual residents to ensure they understand decisions and actions. The care plans identify the health care needs of the residents with evidence of health care professional involvement for example chiropody and optician visits. The residents are regularly weighed. Care documentation is written in clear language and can be used in an emergency by people who are not familiar with its content. Each care plan includes a comprehensive risk assessment. Management of risk takes into account the needs of residents balanced with their aspirations for independence and choice. During the course of the inspection all the residents spoken to gave very positive comments on the standard of care delivery at the home. Staff actively promote the residents’ right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure residents are reminded and appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. The storage of medication is secure. The home uses a monitored dosage system. The Medicine Administration Records were seen to be in order. A medicine policy is in place. The registered provider, and one other designated member of staff, administers medicines. The registered provider has a ‘hands on’ approach to care and the residents’ wishes are clearly recorded in the care documentation. Crantock Lodge DS0000008943.V325929.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): Quality in this outcome area is excellent. National Minimum Standards 12, 13, 14, and 15 were inspected. This judgement has been made using available evidence including a visit to this service. Residents confirmed that they are free to receive visitors and often do so, and that they are free to determine their own lifestyle. The residents were complimentary about the quality of the food provided. All were positive in their comments about life at Crantock Lodge. EVIDENCE: Visitors are encouraged into the home and visitors were observed at the home during the course of the inspection. Residents confirmed that they are free to receive visitors and often do so. Residents said that they are able to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the resident. Residents can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. Residents confirmed that they are able to enjoy a full and stimulating life style with a variety of options to choose from. The registered provider has sought the views of residents and considered their varied interests and abilities when Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 13 planning the routines of daily living and arranging activities. Routines are very flexible and residents can make choices in major areas of their life. Residents are encouraged to be responsible for their own money for as long as they wish, and are able to maintain their independence, for example, collecting their own pension, paying for shopping and managing their own bank accounts. Two of the residents spoken with confirmed that they make use of the facilities in the local area. Residents will often do some shopping for each other. Staff give help when it is needed. The service is very clear about the rights of residents to be able to read their records and staff may regularly spend time with them making sure that they are fully aware of the information which the home keeps. Observation of the interaction between the residents and the staff (including the registered provider and her husband) was very positive and contributes to the very pleasant environment at the home. Residents confirmed that the staff and management are approachable and pleasant, one saying, “speaking to Carole and Dave is like speaking to family”. Residents were seen to have personal possessions, and all agreed that they are free to determine their own lifestyle. Dietary needs, and likes and dislikes, are included in the residents’ care plans. Records are maintained of the food provided. Residents spoken with confirmed that they are consulted as to what they would like to have included on forthcoming weekly menus, and all were complimentary about the standard of cooking at the home. Meals are prepared in a large, modern kitchen. Food is considered to be highly important and meal times considered a social occasion. The cook in the home is qualified and experienced in cooking for older people, is an important member of the care team and is well aware of the recorded dietary and cultural needs of each resident. Mealtimes are relaxed, staff are patient and helpful, and allow residents the time they needed to finish their meal comfortably. Although it is recognised that an alternative is available and the current residents are more than able to say if they do not like or want what is offered, the registered provider could offer a choice every day, rather than relying on the resident to say or ask. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 16 and 18 were inspected. This judgement has been made using available evidence including a visit to this service. Residents confirmed that they are treated with respect and that their rights are protected. The registered provider is proactive in ensuring the welfare of the residents. EVIDENCE: Residents confirmed that the staff and the registered provider are respectful and that their rights are protected. The complaints policy is included in the home’s Service User Guide, which is provided to each resident. Residents spoken with confirmed that they would feel able to express any concerns. The registered provider and her husband have ‘hands-on’ contact with the residents every day, and are receptive to any problems that may arise often anticipating issues before they become issues. The home has an abuse policy, a whistle blowing policy, and relevant training is provided. There is a Protection Of Vulnerable Adults procedure, which provides clear practical instruction to staff (and relevant contact information) as to what to do in the event of an allegation of abuse, which references ‘No Secrets. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 19 and 26 were inspected. This judgement has been made using available evidence including a visit to this service. Crantock Lodge is a very comfortable, very well maintained property providing safe and pleasant accommodation and communal facilities for the residents. EVIDENCE: Crantock Lodge is a very well maintained home externally and internally. Improvements are ongoing, with the registered provider adding an extension for their own accommodation, which will include an office and new laundry. Only the current building works and lack of proper laundry provision prevents the home achieving an excellent outcome for residents. Improvements to the building will include: a purpose built laundry room; a new office; a multifunction room; and owners accommodation. All furniture and fittings are of a very high standard, and there seems to be no inconvenience posed by the building work to the residents, some finding the activity of interest. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 16 The home offers 9 single en-suite rooms, and 1 shared room. There are 4 communal lavatories (2 in bathrooms) available to residents. There are 2 bathrooms offering an assisted bath, and a ‘walk in’ bath and shower. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. There is a garden laid to lawn at the rear, though residents tend to use the sun lounge and garden to the front of the property in clement weather. Communal space internally is comfortable, spacious and furnished to a high standard. The registered provider liaises with other health care agencies to ensure the provision of specialist equipment according to the individual needs of the residents. Residents’ bedrooms are comfortable, furnished and decorated to a high standard, and are personalised to varying degrees to reflect the individuality of the resident. The laundry provision is domestic in nature and currently situated in a shed in the rear garden. The registered provider is in the process of building an extension to the property, which will include accommodation for the registered provider, a garage, a purpose built laundry facility, and a new office. The home was seen to be clean, pleasant, and free from undue odours. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. National Minimum Standards 27, 28, 29, and 30 were inspected. This judgement has been made using available evidence including a visit to this service. Staff training is ongoing to ensure that the staff have the skills to care for the residents. The home’s working practices, staff numbers and skill mix protect residents. EVIDENCE: There are six staff employed, not including the registered provider and her husband. There are four care staff, all of whom have achieved NVQ Level 2 or above. One carer is doing NVQ Level 3, and one is about to start this training. All staff are offered opportunities to undertake training including, for example, 1st Aid and manual handling. All the staff have a Basic Food Hygiene Certificate. Certificates and records of training are kept in staff personnel files. There has not been any change in the staffing complement since the last inspection. The residents benefit from a stable and established staff group who know the residents well. The registered provider advised the inspector that all the staff have received a General Social Care Council handbook. Though not currently in use as there has not been any new staff employed, the registered provider is aware of the need to use a National Training Organisation compliant induction programme for any new staff. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. National Minimum Standards 31, 33, 35, and 38 were inspected. This judgement has been made using available evidence including a visit to this service. Crantock Lodge has an actively involved registered provider who ensures that good standards are maintained by means of working practices and close liaison with the residents. EVIDENCE: The registered provider is studying for the registered managers award qualification. The registered provider is actively involved in the delivery of care as well as the administration duties associated with the running of the home. Her husband undertakes maintenance duties at the home. The residents confirmed that they are regularly consulted on all aspects of life at the home. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 19 The inspector saw that annual quality assurance questionnaires are used, though the registered provider should do more to expand the use of these (extending their use to visitors and health professionals) and publish a summary of the feedback (possibly in the home’s Service User Guide). All the service users take responsibility for their own financial affairs (or their relative/representative). Consequently, the registered provider does not have any financial responsibilities on behalf of residents. A sample of staff supervision records was seen to demonstrate regular and frequent staff supervision taking place. The home has a policies and procedures folder, which is readily available to staff. The registered provider has reviewed and amended these since the last inspection. The registered provider maintains current invoices and records to show ongoing maintenance and safety checks. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. There is strong evidence that the ethos of the home is open and transparent with the views of both staff and residents listened to, and valued. Without exception, the residents spoken with were highly complimentary about the registered provider and staff. The registered provider maintains good lines of communication with other relevant agencies, including the Commission for Social Care Inspection. Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 20 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 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 X 4 X X 3 Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP15 OP33 Good Practice Recommendations The registered provider should do more to ensure that residents are offered a choice at meals every day. The registered provider should do more to expand the use of quality assurance questionnaires and publish a summary of the feedback (possibly in the home’s Service User Guide). Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Crantock Lodge DS0000008943.V325929.R01.S.doc Version 5.2 Page 23 - 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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