Inspection on 01/10/08 for Croft Acres

This inspection was carried out on 1st October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Croft Acres 10/10/06

Croft Acres 08/03/06

Croft Acres 01/07/05

Croft Acres 01/02/05

Croft Acres 04/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Croft Acres 15 Hibberd Road Malin Bridge Sheffield South Yorkshire S6 4RE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Shirley Samuels     Date: 0 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Croft Acres 15 Hibberd Road Malin Bridge Sheffield South Yorkshire S6 4RE 01142340016 01142316729 croftacresltd@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Croft Acres Limited Type of registration: Number of places registered: care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Croft Acres is a care home providing personal care. Accommodation is provided for 24 people. The home is privately owned by Mrs Pamela Bradshaw and is situated in a residential area not far from Hillsborough centre. There is good access to public transport,services,shops and amenities are close by. The home is purpose built with accommodation provided on two floors, which are accessed by a lift. Accommodation is provided in 24 single rooms. There is a lounge on each floor and two dining rooms on the ground floor. The home is served by a central kitchen and laundry. Sufficient bathing facilities are provided. There is a car park at the front of the home surrounded by raised flowerbeds. 0 Over 65 24 Care Homes for Older People Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We sought the view of 10 people using the service, five relatives and five members of staff. Some people spoke to us on the day of the visit others completed questionnaires. The manager was present and assisted with the inspection. At the end of the visit feedback was given to both the manager and the owner. During the visit we looked at the environment and made observations of staff interaction and approach to people using the service and visitors. We checked samples of documents regarding peoples care support and safety. These included assessments, care plans, medication records, staff recruitment files, records of health and safety checks and staff training. Care Homes for Older People Page 5 of 27 We looked at other information before visiting the home. This included the Annual quality assurance assessment (AQAA). This is information provided by the manager about how the service has developed over the last 12 months and what further changes are planned to improve. The manager also told us, the fee ranged from 330.00 pounds - 340.00 pounds and that there are extra charges for toiletries, newspapers,hairdressing and chiropody. We would like to thank everyone for their help and welcome. What the care home does well: What has improved since the last inspection? What they could do better: Comments made by people using the service relatives and staff should be made public along with any action taken. Recommendations made by the South Yorkshire Fire and Rescue Service need to be complied with. Care Homes for Older People Page 7 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people have the information they need and do not move into the home without having there needs assessed. Evidence: In the AQAA the manager told us that people are invited to look round,introduced to other people and that a full assessment of need is completed and a care plan drawn up. People told us they were given information about the home and confirmed that there was usually a notice board with information for them to access. On each of the files checked there was an assessment of need and people did not move into the home without having their needs assessed. Staff told us they usually had enough information to make a judgement about whether or not they were able to meet Peoples needs. Care Homes for Older People Page 10 of 27 Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have care plans,there health care needs are met and their rights are respected. There are some shortfalls with the medication system. Evidence: In the AQAA the manager told us that care plans have been improved, independence is promoted,risk assessments are carried out and people are always treated with respect and dignity. She added there has been a review of the medication system and staff have received the training they need to administer medication safely. Each person had a plan of care that detailed their health ,social and personal care needs. Staff told us care plans were developed from the assessment and added to as people settled in. Care plans were reviewed and people using the service and their relatives told us they were asked to contribute. This made sure that people had a say about the care they needed. Care needs were broken down into a format that was accessible to staff however they Care Homes for Older People Page 12 of 27 Evidence: were stored in the office in a separate file to the daily recordings. This meant that the daily records of care given did not link to the details in the care plan. Peoples files containing confidential information were kept in an open bookcase in the office which was not locked. This means that peoples information was insecurely stored. People using the service, relatives and staff said that peoples health care needs were met. Records of appointments by health professionals were kept and detailed the action staff needed to take. Staff responsible for administering medication received training and there were procedures in place to monitor competence and there was evidence to show that medication reviews took place. The medication trolley was kept in an open office and was not secured to the wall. Controlled drugs were not stored as required by guidance on the storage of medication in care homes. This meant that there was an increased risk of medication being accessed by unauthorised people. People told us they were treated with dignity. On the day of the visit staff were observed speaking to people in a respectful manner. Staff were able to tell us how on a daily basis they respected peoples rights. Staff were seen offering comfort and reassurance to people and offering the support people needed in a sensitive way. This means that peoples well being was promoted. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Contact with family and friends is encouraged, individual choice is promoted and people are provided with a balanced diet. There are some shortfall regarding the provision of activities Evidence: In the AQAA the manager told us a range of activities take place both outside and inside of the home. She said there is a varied menu and people are always offered an alternative. people did have opportunity to take part in activities. All the people spoken to staff and relatives told us there was not enough activity provided. Some people told us they did not want to go outside the home but would welcome more time with staff chatting and other indoor pastimes. Relatives told us they were made welcome when they visited and people using the service were encouraged to keep in touch with family and friends. People told us they were happy with the food provided. There were some people on Care Homes for Older People Page 14 of 27 Evidence: special diets. There were records kept on peoples needs and the cook was able to tell us how special dietary needs were catered for. People who needed assistance was offered this in a discrete and sensitive manner. The mealtime was relaxed and people told us they enjoyed their meal. people told us they were able to choose how to spend their day. Staff told us they were able to help people make choices based on the information they had about them and by getting to know them though observation. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complains are taken seriously and people are protected from harm or abuse. Evidence: In the AQAA the manager told us the complaints procedure is displayed and staff take time to sit and listen to peoples concerns and comments.She added there had been no complaints or referrals to adult safeguarding since the last inspection. We have not received any complaints about the service but comments about the response from staff when phone enquires about vacancies at he home, insufficient opportunity for activities and stimulation and the number of staff leaving. These comments were fed back to the manager to consider as part of improvement of the service. People told us they knew how to make a complaint and had someone to talk to if they were unhappy. The complaints procedure is posted in the home and detailed in the service user guide. Staff were able to tell us the action they would take if an allegation of abuse was made to them. Staff had attended safeguarding training and felt confident about the procedures and were able to identify different types of abuse and how this might affect people. This means that there were procedures in place to protect people from harm. Care Homes for Older People Page 16 of 27 Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is safe, clean and reasonably maintained. Evidence: In the AQAA the manager told us that people using the service are able to make choices about the decor,furniture and furnishings.She added croft acres prides itself on its cleanliness and odour free environment. At the time of the visit redecoration and some replacement of carpets and furniture was taking place. The home was clean and people using the service told us they were happy with their bedrooms. Bedrooms were personalised and reflected peoples interest. Staff told us they were provided with aprons gloves and antiseptic hand wash. Appropriate cleaning materials and equipment was provided and staff said they have easy access to what they need. This made sure that good hygiene practices were promoted. The nurse call system was in good working order however the pitch of the sound was deafening both people using the service and the staff commented on this and found it uncomfortable. This was brought to the attention of the owner who made a Care Homes for Older People Page 18 of 27 Evidence: commitment to have this investigated. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained staff employed, there are some shortfalls however regarding the recruitment procedures. Evidence: In the AQAA the manager told us that staff receive the training they need and they work in a happy environment. She added that staff receive supervision and appraisals and that recruitment procedures have improved. People using the service relatives and staff told us there was always enough staff on duty. There was one member of staff employed to carry out the cleaning of the home and care staff confirmed that they did some tidying and light cleaning as part of their care of individuals. This means that people needs are met by the numbers and skill mix of the staff. In the AQAA the manager told us that 50 percent of the staff had completed the NVQ level 2 in care.The records showed that staff received ongoing training. There were some staff who had not received up to date safeguarding training. This made sure that in the main staff received the training they needed to meet peoples needs. In the main the recruitment procedures made sure people were protected from harm. Care Homes for Older People Page 20 of 27 Evidence: For one person the references were inappropriate. Health checks photographs and contracts were not found on some of the files. Criminal record checks, checks of identification and gaps in employment history were checked and people were interviewed. This means there were some gaps in the procedures which could place people at risk. In the AQAA the manager told us that nine part time staff had left since the last inspection. The home employs 19 staff the manager told us that 9 staff were trained to NVQ level 2 in care. This means that staff have a good understanding of the needs of older people. People told us the staff are caring, considerate, A1, could not ask for better relatives were very complementary about the staff and the way they communicated ,and approached people and added they were always made to feel welcome when they visited. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed,and in the main peoples health safety and welfare is promoted and protected. Evidence: In the AQAA the manager told us she has her NVQ 4 in care and management and the registered managers award. There has been a new manager appointed since the last inspection, she has not yet applied to us to be registered. The new manager has years of experience managing care services for older people. People using the service and staff spoke positively about the manager and said the home was well managed. People told us they were able to comment on the quality of the service but there was no evidence to show that feedback from people had been collated or any suggestions actioned. Care Homes for Older People Page 22 of 27 Evidence: People told us they were satisfied with the arrangements for taking care of their finances. We checked the financial interactions of three people, counted the cash held for them the receipts and storage facilities. These were all in order. This means that peoples financial interest are safeguarded. Staff told us they had received health and safety training and the records supported this. Staff were observed using appropriate moving and handling methods and people told us they felt confident with the staff. The records showed that staff had received fire, health and hygiene, first aid and and other training which helped them to carry out their work in a safe way. Staff were able to tell us what action they took on a daily basis to promote the health and safety of the people they cared for and for themselves. The records showed that appropriate safety checks were carried out on equipment and services such as gas and electric. Fire instruction and fire drills are carried out twice yearly. The home does have a fire risk assessment. The manager told us that the South Yorkshire Fire and Rescue had carried out an inspection and made recommendations that the furniture in the entrance to the home needed to be replaced as it was not fire retardant. This area is also currently used as a smoking area. Visitors to the home have no option but to walk though this area, smoke can and does drift into the dining room and corridor areas. This was discussed with the owner who told us they are considering options with regard to this and the possible health implications for people visiting, people living at the home and the staff. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 There must be procedures in 03/11/2008 place for the safe management of medication To promote and make proper provision for the health and welfare of people using the service. 2 28 13 The recruitment procedures must included obtaining references,health checks and photograph. To prevent people using the service from being placed at risk of harm or abuse. 03/11/2008 3 38 23 The recommendations made 28/11/2008 by the South Yorkshire Fire and Rescue Service regarding the furniture in the conservatory entrance to the home must be complied with. To promote the health safety and welfare of people using the service staff and visitors. Page 25 of 27 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The care plan and other records relating to the everyday care of people should be kept in the same file. This will encourage staff to record in a way that reflects the needs identified in the care plan. To ensure confidentiality Peoples information should be securely stored To further promote peoples welfare the activities programme should be reviewed to make sure people have the opportunity to take part in activities of their choice. The redecoration and refurbishment already commenced must be completed to make sure people live in a well maintained environment. Investigation and action should be taken to make sure the pitch of the nurse call system is safe and does not cause discomfort. All staff should receive training on safeguarding adults Comments from people using the service and their relatives should be collated along with any action to be taken and displayed. This will make sure that people ill be able to contribute to the way the service is run. The owner and manager should continue to seek a solution to reduce the exposure of people to cigarette smoke. 2 3 7 12 4 19 5 19 6 7 30 33 8 38 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!