Inspection on 29/12/05 for Craven Nursing Home

This inspection was carried out on 29th December 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

Craven Nursing Home 06/02/07

Craven Nursing Home 22/06/05

Craven Nursing Home 30/11/04

Similar services:

Abbey The

Snydale Care Home

Whiteley House

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Craven Nursing Home Keighley Road Skipton North Yorkshire BD23 2TA Lead Inspector John McGarva Unannounced Inspection 29th December 2005 10:00 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 Craven Nursing Home DS0000061132.V274161.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. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Craven Nursing Home Address Keighley Road Skipton North Yorkshire BD23 2TA 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) 01756 700994 01756 790925 Craven Nursing Home Ltd Mrs Felicity Coleman Care Home 48 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (28) Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. DE(E) - 60 years upwards Date of last inspection 22nd June 2005 Brief Description of the Service: The Craven Nursing Home is situated in semi rural settings on the outskirts of the market town of Skipton. The home is registered to provide nursing care for up to 48 residents who are elderly, mentally ill, or suffer from dementia. Divided up into two units, one of 22 beds for general nursing cases the other of 20 beds for the elderly mentally ill. The home is a large traditional detached two-storey stone fronted building, which has been extended towards the rear. It is currently undergoing a major renovation and extension program. It has extensive views at the front overlooking the Skipton to Keighley road and at the rear, the Leeds / Liverpool Canal flows close by. There is a vertical lift providing level access to the first floor and an additional eight-person lift will also be available when the new extension is complete. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to the unannounced inspection, which took place on Thursday 29th December 2005 and the manager Mrs Felicity Colman and Mrs Carolyn Homes, deputy manager, were available to assist with the process. The inspection commenced at 10.00hrs until 15.00 hrs, 5hrs in total. There were 42 residents present, which, although the home is registered for up to 48, is the maximum that can be taken at the present time. Substantial development has taken place and continues with an additional extension being built at the present time. When completed, there will be up to 68 beds in total in the home. The inspections focused on some of the key standards not inspected at the last inspection as well as addressing issues raised then. An inspection of some of the resident’s rooms, lounges and bathrooms also took place. Discussions took place with the manager, nurses, carers, and several residents. The residents appeared content and were well dressed with clean and pressed clothing. What the service does well: The home provides a good quality of care in a homely and professional manner. There are good systems of documentation in relation to care planning, policies and procedures. The home meets the minimum standards in relation to the number of care staff with NVQ Level qualifications and further training of other staff will increase this further. The staff spoken to confirmed that there is a good team spirit in the home and that they are all committed to providing the best possible care for the residents. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Craven Nursing Home DS0000061132.V274161.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 Craven Nursing Home DS0000061132.V274161.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): 3 and 6. The resident’s needs are assessed prior to admission and the care plans developed from this. EVIDENCE: Individual ring folders are available for each of the home’s residents and into which all information pertaining to them is kept. The information includes admission details, assessment, care plans, daily statements, nutritional assessments and weight charts. The assessment documentation inspected was good and included sufficient detail so that their needs are identified and upon which information the care plans are developed. Information recorded regarding their social, mental and physical needs was relevant. The home does not provide intermediate care. (Standard 6) Craven Nursing Home DS0000061132.V274161.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): 8 and 9. There are good systems in place to ensure that the health care needs of the residents are met. The system of storage and management of the medications is satisfactory. EVIDENCE: The residents looked well cared for with clean and well-pressed clothes and looked cheerful and content. There were no malodours detected in any part of the home visited. The care plans of some residents were inspected and found to be of good quality with careful and thoughtful strategies to address particular needs or problems. Waterlow assessments are completed to determine risk from pressure sores and there are pressure relieving mattresses and cushions available to help reduce this risk. The storage and administration of the medications is satisfactory and the management of the records system has been reviewed and improved since the last inspection to ensure safe practice. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14. The resident’s wishes are respected at all times and contact with relatives and friends is encouraged. EVIDENCE: The resident’s routines of daily living are tailored to their needs and choice and there is a new activities organiser who works 20 hrs per week to assist with social activities and provide social contact. The activities organiser works a variety of hours from 9 until 3 pm and also comes at weekends and in the evenings. She makes notes in the resident’s files in regard to their social well-being, and these records are of exceptional and thoughtful quality. The programme of social events is displayed on the notice board near to the entrance of the home. Visitors can attend at any time they choose, day or night with drinks provided for them routinely. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 11 The home is flexible in relation to allowing the residents to bring in their own items of furniture and other personal possessions. The residents personal monies is managed either by themselves or their relatives and the home has no responsibility for any residents monies at the present time. Craven Nursing Home DS0000061132.V274161.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): 16 and 18. There are appropriate complaints and adult protection policies in place to safeguard the residents from abuse. EVIDENCE: There are satisfactory Adult Protection and Whistle Blowing procedures available to protect the residents. The care staff are aware of what to do should any complaint or incident about a resident take place and training in this important area is given on a regular basis. Staff spoken to confirmed their knowledge of the homes policies in regard to complaints and Adult abuse issues. Craven Nursing Home DS0000061132.V274161.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): This standard was not inspected on this occasion. EVIDENCE: Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 14 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 and 30. The residents receive a good standard of care from sufficient staff who are appropriately trained and supervised. EVIDENCE: The home have managed to access ‘New deal, Skills for life initiative’ funding for the over 25 year old staff who previously had to pay for this training. Eight of the care staff has achieved NVQ Level 2 training standard and two are working towards NVQ Level 3 level. Another carer has embarked upon NVQ Level 4. The percentage of the care staff so trained is 50 thereby meeting the 50 recommended minimum standard. The recruitment procedures at the home meet the required standard and all Criminal Record Bureau (CRB) checks are done for all staff. There is a training programme in place for the care staff, which meets the National Training Organisation (NTO) standards. Routine statutory training in the areas of Heath & Safety, Moving & Handling and Fire safety are delivered at the recommended intervals. . Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 34, 35 and 38. The home is well managed with staff that is kept informed and consulted on developments in the home. A review of the policies and procedures is required to help reduce risk. EVIDENCE: The Manager is a first level nurse with many years of experience in caring for the elderly and has worked in the home for six years. She completed the NVQ Level 4 management award in 2005 and has now embarked upon a Certificate of Education course at the present time. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 16 She enjoys the respect and support of the staff and regular meetings with the staff are held to keep them involved and consulted about the running of the home. Significant changes are being made to the size and general environment of the home and communicating with the staff about these over the next few months will be a key element in their success. Morale in the home has improved since the new owner has taken over as he lives locally and takes a more active interest in the home. Questionnaires are routinely distributed to elicit the views of the residents and relatives about the running of the home. The latest survey dated September 2005 illustrated high levels of satisfaction with the home in relation to facilities, activities, care, staff and catering. The display of Christmas cards on the notice board included testimonies from grateful relatives and visitors of present and previous residents who had been cared for in the home. The residents or their relatives on their behalf arrange the management and control of the resident’s personal monies and in consequence there is no need for the home to be involved in these transactions. There are systems in place for the staff to receive training in the areas of Health & Safety, First Aid, Fire Safety and Moving and Handling. Regular servicing and records of this are maintained of the gas boilers, lift, hoists and other equipment. The care policies and procedures of the home need to be reviewed to make them more easily accessible. The clinical policies should be separate from the general administrative and personnel policies. There was no bathing policy to see and the importance of making reference in such a policy to checking the water temperature, using hoisting equipment and never leaving residents in the bathroom alone was discussed. To help ensure safe practice, the signatures of the staff to evidence they have seen and understood the homes policies should be obtained. All policies should be numbered, indexed and dated. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 17 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 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 3 3 x x 2 Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 18 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. Refer to Standard OP38 Good Practice Recommendations The homes policies and procedures should be numbered, indexed and dated and the signatures of the staff obtained to evidence that they have read and understood them. A bathing policy should be created. Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Craven Nursing Home DS0000061132.V274161.R01.S.doc Version 5.1 Page 20 - 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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