Inspection on 10/05/05 for Croft House

This inspection was carried out on 10th May 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

Croft House 08/07/08

Croft House 11/07/06

Croft House 13/09/05

Croft House 06/10/04

Croft House 06/04/04

Croft House 02/05/03

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Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Croft House Redlands Lane Fareham Hampshire PO14 1EY Lead Inspector Nick Morrison Unannounced 10 May 2005, 10:00am th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Croft House Address Redlands Lane Fareham Hampshire PO14 1EY 01329 280600 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) Hampshire County Council Mr Steven Roger Ward CRH 12 Category(ies) of Learning Disability - LD - 12 registration, with number of places Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Wheelchair users may only be accommodated on the ground floor in rooms 2,4, and 5. Date of last inspection 6.10.04 Brief Description of the Service: Croft House is a Hampshire County Council Home for adults with learning disabilities aged 18-65. The home is divided into four separate units. There are two main units for five service users and two units for more independent living or more intensive support. These can each accommodate one service user. The home is a short distance from Fareham town centre with nearby access to public transport.The primary reason for care is learning disability but some service users may have additional needs. Emergency admissions may occur, which can lead to the home reducing its respite service at times. The home may also become involved in longer-term care whilst waiting for alternative accommodation to be provided. Care plans are prepared with service users and relatives. The home has a sensory room, computer equipment, and a garden. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, lasting five hours, during which the Inspector toured the premises and spoke with service users, staff and the Manager. A sample of five service user files and six staff files were seen. All other records referred to in the report were seen by the Inspector on the day. What the service does well: What has improved since the last inspection? What they could do better: The home is currently working on providing the Statement of Purpose and Service User Guide in formats that might be more accessible to service users. Although confidentiality in the home was generally good, there is a need to be more vigilant about locking files away. The laundry area still requires some attention in order to maintain cleanliness and prevent the spread of infection and the home would also benefit from having a new dishwasher. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 6 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. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 and 4. The home’s approach to enabling service users to access the service is positive and supportive, but service users would benefit from clearer information about the home. EVIDENCE: The home has a Statement of Purpose and a Service User Guide in place, which provide comprehensive information about the service. They are clearly written and informative. They are not available in a format suitable for service users, but the Manager informed the Inspector that work was currently being undertaken to achieve this. A recommendation has been made that this work be completed. The home requires that all service users have a Care Management Assessment in place prior to using the service. These were seen to be on file for all service users. In addition to this assessment, the home completed its own, more detailed assessment as staff got to know service users. All service users were encouraged to visit the service for an evening or a weekend before using it on a regular basis. This was not always possible as the service does have emergency admissions from time to time. Emergency admissions were accepted only with Care Management Assessments. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. Service users were enabled to make decisions about their care and daily living and to take considered risks. Not all confidential information was kept securely. EVIDENCE: Service users’ files contained Care Plans that described the kind of support each person required. Plans were kept up-to-date and reviewed each time the service user returned for another stay. The home had devised a questionnaire for service users and their families to provide any updated information. Plans were well written and easy to read. The home also liaised with day services, Care Managers and other professionals in reviewing and updating Care Plans. Where there were restrictions or limits on particular service users’ rights to make decisions on, or take control over, particular aspects of their lives there was documentary evidence to show how the decision had been made and that other professionals and independent advocates had been involved. Otherwise, service users were supported and encouraged to make their own decisions. Risk assessments were in place for particular activities where an element of risk had been identified. These were regularly reviewed. Generally, the home’s approach to issues of confidentiality was very good. However, the Inspector found files containing confidential information about Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 10 some service users left in an unlocked filing cabinet in the upstairs sleeping-in room. The room was also unlocked. A requirement has been made in respect of this. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14, 15 and 17. The home ensures that service users are able to participate in leisure activities and offers a healthy diet. EVIDENCE: Service users’ interests are recorded in the initial assessments and this is updated each time the person stays in the home. Activities are planned in response to these and service users are also encouraged to engage in new activities while they are staying in the home. Service users spoken with confirmed that there were a lot of different activities on offer and some had the opportunity to go to places like the cinema, the beach and the pub which they were not able to do at home. Some service users were encouraged to maintain contact with their families while they were staying at the home but, as it is a respite service, staff understood that not all families wanted to be contacted every day. The menus in the home were varied and balanced. Service users were always offered choices and fresh fruit was freely available throughout the day. Service users spoken with were complimentary about the food in the home and sad there was always plenty to eat. Individual nutritional needs were highlighted on Care Plans and catered for appropriately. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20. The home provides personal support to service users based on their preferences. The medication practices within the home ensure medication is administered appropriately and safely. EVIDENCE: During the inspection, a member of staff was attending to a service user’s personal care needs. While the Inspector did not observe the whole process, it was clear that the member of staff approached the task with skill and sensitivity. Care Plans were clear about how service users preferred to receive support and service users spoken with said that staff were very good at supporting them with personal care. The home has a comprehensive Medication Policy in place and service users could retain and administer their own medication subject to a risk assessment. Most service users required some kind of support with their medication and staff involved in administering medication had received training. Clear records were kept of all medication coming into and leaving the home, along with records of what medication each service user had received during their stay. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Service users were listened to and the home took all reasonable steps to protect them from abuse. EVIDENCE: The home had a Complaints Procedure in place that was available to all service users and their families. It was available in different formats so as to be accessible to a wide range of service users. It explains how service users can complain to Keyworkers and senior staff about things they were not happy with. The home kept records of all complaints and how they were responded to. The home has procedures in place for responding to issues of suspected abuse. The Manager was clear about how to report any issues and the limits of her own involvement. Staff training in responding to issues of suspected abuse was planned. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28 and 30. The home is clean, homely, comfortable and kept safe. Service users benefitted from the substantial shared spaces the home provides. Service users would benefit from the home being cleaner and more hygienic. EVIDENCE: Regular maintenance checks were in place and records were kept. The home was kept safe and comfortable. The home is very large and provides a lot of space for the number of service users catered for. Lounge areas were furnished comfortably with good quality furniture and appeared homely. There was sufficient lighting, heating and ventilation throughout the building. Service users’ rooms were of varying shapes and sizes, some having large bay windows providing a lot of light and good views. All rooms are for single occupancy although arrangements can be made to accommodate couples as necessary. Service users who use wheelchairs were restricted to rooms on the ground floor as there are no facilities to enable them to get to the first floor. There are five bathrooms and three separate toilets throughout the building, which was sufficient for the number of service users. Overhead hoisting equipment was available for service users who needed it. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 15 The home was generally clean and hygienic and Infection Control procedures were in place. However, a member of staff informed the Inspector that the dishwasher was out of order and this was also the case at the previous inspection. It is recommended that the home purchase a new, more reliable dishwasher in order to maintain hygiene and prevent infection. The laundry area was quite untidy and in need of cleaning. There was also food on the floor. This had contributed to a large number of ants. A requirement has been made in respect of this. Paper towels and liquid soap should also be provided in the laundry area to maintain hygiene and prevent infection and a recommendation has been made in respect of this. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36. The homes recruitment practices protect service users and they are supported by trained and well-supported staff. EVIDENCE: The Manager was able to demonstrate that the home’s recruitment and selection policy was followed. All pre-employment checks, including references and Criminal Records Bureau checks, were undertaken prior to employment. Staff training was identified through Support & Supervision sessions and an annual analysis of training needs. This process included identifying training that was relevant to the particular needs of service users. Good, clear records were maintained for all training undertaken by staff. The home has a very good staff Support & Supervision system in place. Records showed that sessions focussed on individual service users for whom the member of staff was a Keyworker. The Inspector was able to trace issues raised from care staff supervision to the Deputy Manager’s supervision to the Manager’s supervision. This demonstrated that issues were acted upon at the necessary level and feedback passed back down. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 40, 41 and 42. The ethos of the home was focussed on the needs of service users and their rights and interests were protected by the homes policies and procedures. Health & Safety in the home is well-managed and protects service users. EVIDENCE: The Manager of the home demonstrates leadership in the development of the service. This was shown through records from Support & Supervision, Staff Meetings and Service User Meetings. The member of staff spoken with confirmed that the Manager was respected by staff and always approachable for staff, service users and their families. The home has an extensive Policies and Procedures Manual in place and staff had access to this. The Manual covered all aspects of care, service and building issues and was regularly updated. All records seen by the Inspector, except where otherwise stated in this report (see Standard 10), were up-to-date, accurate and kept securely. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 18 The Manager of the home was aware of her duties and responsibilities in relation to Health & Safety issues and regular checks were undertaken to maintain a safe environment. Good records were kept of these. Staff received relevant Health & Safety training, workplace risk assessments were seen and all incidents and accidents were recorded, monitored and responded to appropriately. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 2 Standard No 11 12 13 14 15 16 17 x x x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Croft House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 3 x H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 20 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. 2. Standard 10 30 Regulation 17 (1) (b) 12 (5) (j) Requirement All service user information and records must be kept securely in the home. the laundry area must be throughly cleaned and a programme put in place to maintain cleanliness and hygiene Timescale for action 10.6.05 10.6.05 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. 2. 3. Refer to Standard 1 30 30 Good Practice Recommendations The Statement of Purpose and Service User Guide should be produced in a format accessible to service users. The home should replace the dishwasher with a more reliable model Paper towels and liquid soap should be made available in the laundry area. Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Croft House H54 S33288 Croft House V226094 100505.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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