Inspection on 12/12/07 for Crescent House

This inspection was carried out on 12th December 2007.

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

Crescent House 19/06/06

Crescent House 24/10/05

Crescent House 20/05/05

Crescent House 09/08/04

Crescent House 27/05/04

Crescent House 05/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Crescent House 3 The Crescent Phippsville Northampton Northants NN1 4SB Lead Inspector Gary Robinson Key Unannounced Inspection 09:30 12th December 2007 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 Crescent House DS0000012755.V348255.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. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crescent House Address 3 The Crescent Phippsville Northampton Northants NN1 4SB 01604 710222 01604 716951 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Crescent Homes Limited Mrs Ann Ogbourne Type of registration No. of places registered (if applicable) Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home will limit its services to the following service user categories: No person falling within the category Older Persons (OP) can be admitted where there are already 33 persons of category OP in the Home. The total number of service users in the Home must not exceed 33. 19th June 2006 2. Date of last inspection Brief Description of the Service: Crescent House is a large property situated in a pleasant residential area of Northampton, close to local shops, and accessible by public transport from the town centre. Attractive, landscaped gardens surround the premises. Accommodation is mostly in single bedrooms although there are bedrooms large enough to accommodate couples or people who positively choose to share. Communal areas are spacious and Crescent House is comfortably furnished and tastefully decorated throughout. Fees currently range from approximately £331.00 to £500.00 per week. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This inspection was unannounced and took place over approximately six hours. Crescent House was inspected using the method of ‘case tracking’. This is a process that involves inspecting the standard of care received, in this instance, by three service users currently in residence, inspecting the records relating to their support and care, and subsequently meeting with them in private to hear their views. There were also meetings in private with four care workers who provide support to the service users, and with the Manager and Deputy Manager of Crescent House. These meetings were used to discuss staff roles in providing support and care, training, and the day-to-day running of the home. There was also a general tour of the premises, including communal areas, although not all rooms in the building were viewed. By agreement with the individuals concerned, bedrooms occupied by service users were also viewed. Records pertinent to the efficient day-to-day administration of Crescent House as a Home registered to provide personal care were also inspected. The findings of the inspection were verbally shared and discussed with the Manager and Deputy Manager of Crescent House at the conclusion of the inspection. These findings are incorporated into this report. No requirements were made on this inspection. What the service does well: What has improved since the last inspection? As recommended in the previous inspection report, advice on the temperature probing of cooked foods and food safety standard guidelines has since been sought from the Environmental Health Department. This advice has been acted upon. In line with the requirement made in the previous inspection report, staff members are now more diligent about ensuring that whenever medication is dispensed the responsible staff member on duty promptly and consistently signs the appropriate record. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crescent House DS0000012755.V348255.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 Crescent House DS0000012755.V348255.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): Standards 1, 3, 4 & 5. Standard 6 does not apply. Quality in this outcome area is good. Prospective service users are provided with the information they need to make a choice about whether Crescent House will suit them and they can be confident their needs will be assessed prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is documentary evidence on file that service users are fully assessed prior to admission to Crescent House. Copies of previous inspection reports are available to all prospective and existing residents. There is a service user guide. Prospective service users are encouraged to visit Crescent House prior to taking up residence and this was confirmed by a service user who has relatively recently come to live in the Home. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is good. The staff team at Crescent House treat service users with respect and provide appropriate levels of support based upon the assessed needs of the individual. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were seen to contain up to date information about the needs of the service user. There is documentary evidence that the staff team record visits to the Home by healthcare professionals and include details of the outcome of the visit and action to be taken. Medicines are appropriately and securely stored. Medication records should, however, be returned to the storage cupboard or locked in the trolley when not being actively used. Advice was given. Service users confirmed that the staff team always respects their right to privacy and it was also evident from observing staff go about their duties that this is the case. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Daily routines are flexible and meet the lifestyle needs and expectations of the service users living in Crescent House. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ notice board displays information about forthcoming events and entertainments. Visitors are welcome throughout the day and service users said their family or friends are always made welcome at Crescent House. Service users choose whether to use communal lounge areas or relax in their own room. This was confirmed by comments made by individual service users who said they could spend their time as they wished. Individual preferences and interests are included in the care plans. The consensus amongst service users is that the food is good, with generous portions and a good variety of meals to suit all tastes. Fresh fruit is available. Foodstuffs are appropriately stored. The dining areas provide a comfortable setting in keeping with enjoying a meal and socialising with others. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 11 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): Standards 16 & 18 Quality in this outcome area is good. Service users can be confident that they will be listened to and taken seriously if they have concerns or worries. The Manager ensures that there is the appropriate training and guidance for staff that enables them to help protect service users from the risk of harm or abuse of their rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure that service users said they knew about and would use if they needed to. Service users are encouraged to tell a member of staff if they are unhappy, worried, or concerned about any aspect of their care or the care of others living at Crescent House. Service users said the staff team are very approachable and they felt confident that they would be listened to and action would be taken if they needed to complain or raise a concern. Members of the staff team confirmed they had regular refresher training on how to deal with concerns or any allegations of abusive behaviour. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 12 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): Standards 19, 23, 25 & 26. Quality in this outcome area is good. Crescent House is comfortable, clean, and well appointed throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Communal areas within Crescent House were seen to be clean, comfortable, and free from odour. Individual bedrooms were seen to be personalised with the resident’s own belongings. The premises were in a good state of repair. The décor and furnishings are tasteful and well maintained. There is appropriate equipment throughout Crescent House to enable the staff team to do their work safely and meet the needs of the service users. The lounge area towards the front of the building, although facing out into the garden area, would benefit from having curtains or blinds fitted to enhance the homeliness of the room. Several service users commented that they would also like this addition, especially during wintertime when daylight hours are short. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 13 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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. Staff appear competent, motivated, and respect the service users they support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were sufficient members of care staff on duty at the time of this inspection, including the Manager and Deputy Manager. Members of staff confirmed they have regular refresher training to ensure they are following best practice. Individual members of staff were observed to go about their duties in a competent manner and to relate well to the service users they were assisting. Recruitment of staff is appropriately managed to ensure that service users are protected. There was documentary evidence on file that staff members have a satisfactory Criminal Records Bureau (CRB) clearance prior to taking up their duties. There was evidence of written references and previous employment records. Copies of training certificates were seen on file. Members of staff confirmed to receive a good level of managerial support from the Manager and her Deputy. Advice was given on ensuring that supervision records confirm that each member of staff does receive formal supervision on a one-to-one basis with their designated line manager at least four times over a twelve-month period. There were records of staff appraisals and confirmation from individual staff that they do feel they get the supervisory support and guidance they need and Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 14 do meet frequently with the Manager or Deputy to discuss their work, but there should be documentary evidence of compliance with the standard governing staff supervision. Advice was given at the time of this inspection. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33, 35 & 38 Quality in this outcome area is good. Crescent House is effectively and sensitively managed with the result that the service users can rely upon staff to provide the level of support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the Manager and Deputy Manager are very experienced and are respected and liked by both service users and the staff team. Crescent House is efficiently run. It is evident from the commitment and enthusiasm of the Manager, her Deputy, and the care workers, that as a team they strive on a daily basis to ensure that the service users feel safe and happy to live and be cared for in Crescent House. Although each member of staff is well supervised in their day-to-day duties and have their performance appraised, the records maintained for staff Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 16 members do not readily reflect that there have been formal supervision meetings held between each individual and their designated line manager. This was acknowledged by the Deputy Manager and will be put right. Individual members of staff did, however, confirm that they do meet regularly with both the Manager and Deputy and the omission appears to be in not recording when a meeting constitutes a formal supervision. Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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 OP24 Good Practice Recommendations Consideration should be given to fitting curtains or blinds to the windows in the garden-facing lounge area identified in this report. The records maintained for each member of staff should readily demonstrate that, in addition to day-to-day supervision, they each have had formal one-to-one supervisions with their line-manager at a frequency of not less than six times a year. 2 OP36 Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Edgeley House Tottle Road Riverside Business Park Nottingham NG2 1RT 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 Crescent House DS0000012755.V348255.R01.S.doc Version 5.2 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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