Inspection on 11/04/05 for Craven Park Nursing Home

This inspection was carried out on 11th April 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 Park Nursing Home 18/11/08

Craven Park Nursing Home 11/12/07

Craven Park Nursing Home 10/01/07

Craven Park Nursing Home 20/10/05

Craven Park Nursing Home 18/11/04

Craven Park Nursing Home 14/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Craven Park Nursing Home 1 Craven Road Craven Park Harlesden, London NW10 8RR Lead Inspector Sue Mitchell Unannounced 11 April 2005 13.00 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. Craven Park Nursing Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Craven Park Nursing Home Address 1 Craven Road Craven Park Harlesden London NW10 8RR 020 8961 5678 020 8961 9254 mail@bmlhealthcare.co.uk GSG Nursing Homes Ltd. 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 Mary Ampah CRH 26 Category(ies) of OP - 26 registration, with number of places Craven Park Nursing Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Not applicable Date of last inspection 18.11.04 Brief Description of the Service: Craven Park Nursing Home is a care home providing nursing and personal care, and accommodation, for up to 26 older people. The registered providers of services at the home are GSG Nursing Homes Ltd (in respect of the building) and BML Healthcare, a national care organisation (in respect of the business of staffing and care). The registered responsible person is Mr Lambert, Director of BML Healthcare. The home has been operating since 1995. The home is located within a residential area of Harlesden, within the London Borough of Brent. It is a few minutes’ walk from local conveniences, and is quite close to Harlesden tube station. Bus routes are around the corner from the home. The home has a private driveway that could hold around eight cars. The building has two floors. Access is by passenger lift or stairs. One of the home’s bedrooms is a double room. All bedrooms are fully furnished. All but two have en-suite toilet facilities. The home has three communal bathrooms that all have adaptations. One such room has a walk-in shower area. There are a number of additional toilets. The home has a large dining room that is also used as a day room for a number of service users. There is a separate main lounge. The home has a medium-sized, enclosed garden that is mainly patio Craven Park Nursing Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out during the afternoon just after the residents were finishing their lunch. The inspector met with one relative and a friend of a new resident as well as speaking to approximately 9 residents and the staff on duty during the afternoon. There were five carers and a qualified nurse and the manager on duty at the time of the inspection. One carer had gone with a resident to hospital as he had sustained a minor injury that morning. The inspector toured the premises and met a number of residents who were in their rooms who were happy to have a chat about the home. All the residents, the relative and the friend spoken to were fulsome in their praise of the quality of care provided, the care staff and the food. The inspector also looked at care files and plans, health and safety matters, staff training records, activities and complaints. What the service does well: What has improved since the last inspection? What they could do better: The home did not receive any requirements from this inspection, which is commendable. The home continues to provide a stable caring environment for the residents. Relatives feel able to raise concerns to the manager, which should be encouraged as much as possible. Craven Park Nursing Home Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Craven Park Nursing Home Version 1.10 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 Craven Park Nursing Home Version 1.10 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) 3 Residents individual care needs are assessed prior to admission and information from professionals and relatives is sought to ensure the home can meet the assessed needs. EVIDENCE: There had been two new admissions since the last inspection. Both files were sampled and the inspector spoke to one of the new residents and his friend. Care files contained detailed nursing assessments carried out by the home as well as information from the hospital about his needs. A thorough assessment of all aspects of the resident’s care needs had been undertaken and included detailed risk assessments. Care plans and risk assessments had been evaluated on a monthly basis. The resident had also signed that he had agreed to the plan of care. The resident stated that he had settled in well to the home and that staff were very caring about him and that he was well looked after. The resident’s friend also said that they felt this was the best place for him and his medical, nursing and care needs were being well looked after. The other admission was for respite care. There were detailed assessments on this person as well as a care plan. Craven Park Nursing Home Version 1.10 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 standard(s) 7,8 Resident’s personal, social and health care needs were judged to be met and residents feel well supported. EVIDENCE: Four care plans were sampled. All contained a detailed needs assessment, a brief care plan summary, and risk assessments for falls, moving and handling, pressure sores and nutritional needs and dependency. All care plans were evaluated on a monthly basis. Some residents were able to sign their care plans. Daily records also summarised how care was carried out for each person. There were detailed health care records in place in each file sampled. Outcomes of appointments were also recorded. Residents have access to chiropody, optician and dental services, which come in to the home on a regular basis. There are no residents who are bedridden or have pressure sores at present. The manager stated that she ensures that all staff are made aware of how to recognise pressure sore areas and how to take care of them. Support and training is also provided from the tissue viability nurse. There was a record of involvement and support for residents from the occupational therapist and physiotherapist Craven Park Nursing Home Version 1.10 Page 10 There has been a significant improvement in the care file records since the last inspection. Craven Park Nursing Home Version 1.10 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 standard(s) 12,13 Residents’ have a range of activities to choose from in the home. Visitors are made welcome EVIDENCE: The home has an activities coordinator who organises activities for the residents during the day. She was not in the home on the day of the inspection so staff were occupying the residents, chatting, knitting, doing their hair etc. In discussion with the relative and residents it was evident that the activities organiser was very highly thought of. Staff too confirmed that they appreciated her contribution. Two residents said that they had enjoyed the last outing to Brent Cross at Christmas and were looking forward to the next one to Hyde Park. The relative said that the Christmas party organised by the activities coordinator was a great success and everyone had enjoyed themselves very much. A list of activities was on the notice board. There had also been an Easter event in the home. Residents care plans also indicated the types of interests and activities they liked to do. The resident’s religious needs are met through weekly visits from the Church of England and 7th Day Adventists. The two visitors to the home confirmed that they were made very welcome by staff and looked after very well. They visited the residents either in their rooms or in the lounges. Craven Park Nursing Home Version 1.10 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 standard(s) 16,18 Relatives and residents feel able to raise concerns at any time with the manager and staff There are clear procedures in place for the protection of the residents. EVIDENCE: The complaints policy is on display and there is a comments and suggestions book in the reception area. The residents spoken to stated that they had no complaints or concerns and were very happy with the care provided. They also said that they would tell the manager or staff if they had any worries. The relative and friend who spoke to the inspector also said that they had no concerns. One person said that she felt the manager and staff were very accessible and would raise any concerns directly with them. She also commented that the home had improved in many ways since the manager had started to work there. The home has a robust protection of vulnerable adults policy and procedure in place. Staff are scheduled to attend abuse awareness training in May 2005. Craven Park Nursing Home Version 1.10 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 standard(s) 19 The residents live in a clean, tidy, odour free well kept home. Individual accommodation is furnished to the resident’s personal taste. EVIDENCE: The inspector toured the premises. There was evidence of ongoing decoration and maintenance being carried out. The responsible individual’s last report had identified a number of maintenance issues, which the manager said were being addressed on an ongoing basis. The home benefits from having a dedicated domestic support team, which ensures that it is kept clean and free from odours. The Environmental Health Officer had visited prior to the last inspection. There had been no issues from that visit. The Fire Brigade is due to visit next year. Craven Park Nursing Home Version 1.10 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 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) 29,30 Residents are supported by competent and well trained staff. There are robust recruitment policies in place and all checks are carried out appropriately. All staff are provided with training and supervision to meet the needs of the residents EVIDENCE: The inspector looked at the personnel file of the newest member of staff. This was noted to meet the standard with all checks and information being place. There was evidence that the organisation is committed to staff training to ensure the resident’s needs are being met. The manager stated that five staff were due to start NVQ 2 training. Three staff are currently on the training and two are completing NVQ 3. One member of staff said she had completed the NVQ2 and was now doing NVQ 3. She had found the training helpful and interesting. The manager ensures that both nursing and care staff attend core and specialist training to develop their skills. The nurses were due to have tissue viability training and Enteral feeding training and had recently had medication training. All staff were due to have COSHH and fire safety training. An external trainer provides training. Training records were well kept. Copies of certificates were in the staff files. Craven Park Nursing Home Version 1.10 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 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) 35,28 The health, safety and well being of residents is well maintained. The home ensures it keeps detailed records of all financial transactions made on behalf of the residents. There are robust health and safety policies and practices in place. EVIDENCE: The home has responsibility for two residents accounts which are due to be transferred to the current manager. Relatives, social services or solicitors are generally responsible for the residents finances. Some relatives give the home a sum of money for toiletries, hairdressing, newspapers etc The inspector looked at the financial records of five residents. These were noted to be up to date. The records are also audited by the manager and senior nurse as well as the responsible individual on a monthly basis. Staff have had recent training in all core health and safety matters. The home keeps detailed accident and incident records and is prompt in reporting all Craven Park Nursing Home Version 1.10 Page 16 significant events to the CSCI. All certificates relating to the appliances and equipment used in the home were made available for inspection and found to be up to date. The fire record checks were not available on this occasion as they are held by the handyman who was not in the home that day. Premises risk assessments were in place. Regular health and safety checks take place and are also carried out by the responsible individual Craven Park Nursing Home Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x x x x x 3 x x 3 Craven Park Nursing Home Version 1.10 Page 18 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 Craven Park Nursing Home Version 1.10 Page 19 Commission for Social Care Inspection 4th, Floor, Aspect Gate 166 College Road Harrow, Middlesex HA1 1BH 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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