Inspection on 09/02/06 for Crantock Lodge

This inspection was carried out on 9th February 2006.

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 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 1RA Lead Inspector Alan Pitts Unannounced Inspection 9th February 2006 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.V263655.R01.S.doc Version 5.1 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.V263655.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Crantock Lodge Address 34 Bonython Road Newquay Cornwall TR7 1RA 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 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.V263655.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To increase registered numbers by one to accommodate one named person only (temporary). 20th July 2005 Date of last inspection 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 DS0000008943.V263655.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over approximately 4.5 hours on 9th February 2006. The inspector spoke with the registered provider and her husband, 4 service users, staff, toured the premises, and inspected documentation. What the service does well: What has improved since the last inspection? What they could do better: Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 6 The registered provider could improve the staff training available (National Training Organisation compliant induction, fire training), and the laundry facilities. 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 DS0000008943.V263655.R01.S.doc Version 5.1 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.V263655.R01.S.doc Version 5.1 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): 1, 5, 6 The registered provider is proactive in ensuring the service users are well informed. Prospective service users may visit the home prior to making a decision about admission. The home does not offer intermediate care. EVIDENCE: The home has a Statement of Purpose, which is provided to all the service users. The service users 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. The registered provider takes an active roll in ensuring that prospective service users 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. The home does not offer intermediate care. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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, 9, 11 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 service users to ensure that their wishes are known. EVIDENCE: 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, and the registered provider undertook to ensure that, where possible, service user involvement in this process is clearly recorded. 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. The service users are regularly weighed. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 10 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. 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 service user’s wishes are clearly recorded in the care documentation. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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): 13, 14, 15 Service users confirmed that they are free to receive visitors and often do so, and that they are free to determine their own lifestyle. The service users were complimentary about the quality of the food provided. EVIDENCE: Visitors are encouraged into the home and visitors were observed at the home during the course of the inspection. The visiting arrangements for the home are written down in the statement of purpose. On the day of the inspection the hairdresser was busy in the home. Observation of the interaction between the service users and the staff (including the registered provider and her husband) was very positive and contributes to the very pleasant environment at the home. Service users confirmed that they are free to receive visitors and often do so. Service users 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 service user care plans. Records are maintained of the food provided. Service users spoken with confirmed that they are consulted as to what they would like to have included on forthcoming menus, and all were complimentary about the standard of cooking at the home. Meals are prepared in a large, modern kitchen. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 12 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): 17, 18 Service users confirmed that they are treat with respect and that their rights are protected. The registered provider is proactive in ensuring the welfare of the service users. EVIDENCE: Service users confirmed that they receive their mail unopened, though assistance is available if desired, and that they are free to participate in civic processes (e.g. voting). Service users confirmed that the staff and the registered provider are respectful and that their rights are protected. The home has an abuse policy, a whistle blowing policy, and all but one of the staff employed, and the registered provider, have undertaken adult protection training via the local social services department. The registered provider should introduce 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. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 13 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): 20, 21, 22, 23, 24, 25, 26 Crantock Lodge is a very comfortable, very well maintained property providing safe and pleasant accommodation and communal facilities for the service users. EVIDENCE: Crantock Lodge is a very well maintained home externally and internally. Improvements are ongoing and include the recent provision of a library for the benefit of the service users. In addition, bathing facilities are currently being upgraded. All furniture and fittings are of a very high standard. The home offers 9 single en-suite rooms, and 1 shared room. There are 4 communal lavatories (2 in bathrooms) available to service users. There are 2 bathrooms offering an assisted bath, and a ‘walk in’ bath and shower. There is a large garden laid to lawn at the rear, though service users tend to use the sun lounge and garden to the front of the property in clement weather. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 14 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 service users. Service user bedrooms are comfortable, furnished and decorated to a high standard, and are personalised to varying degrees to reflect the individuality of the service user. The laundry provision is domestic in nature and currently situated in a shed in the rear garden. The registered provider is planning an extension to the property, which will include a purpose built laundry facility. In the interests of infection control and the increasing dependency of the service users, the registered provider should consider the provision of an industrial washing machine with a sluice facility in conjunction with the completion of the new laundry facility. The home was seen to be clean, pleasant, and free from undue odours. It is noted that radiators are continuing to be guarded for the safety of the service users. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29, 30 Staff training is ongoing to ensure that the staff have the skills to care for the service users. Service users are protected by the home’s working practices. EVIDENCE: Discussions with the registered provider and the inspection of two sample staff files evidence the implementation of a robust employment procedure. All but one member of staff have a current 1st Aid qualification, and the registered provider advised the inspector that refresher courses are planned later this year. All the staff have a Basic Food Hygiene Certificate. The registered provider advised the inspector that all the staff have received a General Social Care Council handbook. The registered provider must make arrangements for new staff to undertake a National Training Organisation (Skills for Care – www.topss-england.net) compliant induction programme. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 36, 37, 38 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 service users. 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 service users confirmed that they are regularly consulted on all aspects of life at the home. The registered provider advised the inspector that annual quality assurance questionnaires are used, though the most recent were not available for inspection. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 17 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 their behalf. 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 should review and amend these as necessary to ensure that they provide accurate and current information. The registered provider maintains current invoices and records to show ongoing maintenance and safety checks, including: gas safety certificate, electrical equipment tests, and Environmental Health Officer inspections. The registered provider must ensure that all staff receive at least 6-monthly fire training, the records showed that on three of the last four sessions the same member of staff attended. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 2 X 3 3 3 3 3 3 2 STAFFING Standard No Score 27 X 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 X 3 2 2 Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 19 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 OP30 Regulation 18 Requirement Timescale for action 01/04/06 2. OP38 13 The registered provider must make arrangements for new staff to undertake a National Training Organisation (Skills for Care – www.topss-england.net) compliant induction programme. The registered provider must 01/04/06 ensure that all staff receive at least 6-monthly fire training, the records showed that on three of the last four sessions the same member of staff attended. 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 OP18 Good Practice Recommendations The registered provider should introduce 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. In the interests of infection control and the increasing dependency of the service users, the registered provider DS0000008943.V263655.R01.S.doc Version 5.1 Page 20 2. OP26 Crantock Lodge 3. OP37 should consider the provision of an industrial washing machine with a sluice facility in conjunction with the completion of the new laundry facility. The registered provider should review and amend the home’s policies and procedures as necessary to ensure that they provide accurate and current information. Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection St Austell Office 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. Extracts may not be used or reproduced without the express permission of CSCI Crantock Lodge DS0000008943.V263655.R01.S.doc Version 5.1 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. 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