CARE HOMES FOR OLDER PEOPLE
Croft House Croft House Carlyle Crescent Shotton Colliery Durham DH6 2PB Lead Inspector
Mr Leonard Hird Unannounced Inspection 13th February 2006 10:30 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 Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Croft House Address Croft House Carlyle Crescent Shotton Colliery Durham DH6 2PB 0191 5261132 0191 5208821 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Croft House (Care) Limited Mrs Jacqueline Addison Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: Croft House provides personal care for up to 21 people in the category of older Persons. The home is owned by Croft House ( Care) Ltd and is located in the centre of Shotton Village. The home benefits from a passenger lift to both floors and has a large garden to the rear Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of 4 hours on the 13th February 2006. The inspection looked at a number of important areas such as how people were admitted to the home, medication, staffing, management and safety of residents. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 6 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 Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 7 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS3 Prospective residents could be confident that the home would be able to meet their needs before moving into the home. EVIDENCE: There was evidence that before coming to live at the home there had been assessments undertaken by the home. These records of assessments were being maintained on individual residents files. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 8 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS9 There were no residents living at Croft House who were self-medicating at the time of this inspection. There were however, policies and procedures available in the home for the instruction and guidance of staff to ensure that residents would receive their medication safely and as they wished. EVIDENCE: No residents were self-medicating at the time of the inspection. All residents were being provided with a lockable draw in their rooms for the storage of medication if anybody wished to become self-medicating. The home has appropriate policies and procedures available for guidance on medication administration and this covers any resident who wished to self medicate. Staff had undergone training in the safe handling of medication and records of training were being kept along with records of medication being given to the residents. Medication was being stored and kept securely. Residents had signed a document to confirm that they wished they medication to be administered by the homes staff. Residents spoken with said they were happy with how their medication was given to them Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard areas not assessed on this occasion. EVIDENCE: Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 10 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard areas were not assessed on this occasion. EVIDENCE: Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 11 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 19 NMS 26 Croft House was clean, comfortable and generally well maintained providing the residents with a safe and pleasant environment to live in. EVIDENCE: Individual bedrooms and living areas were suitably maintained, furnished and decorated. The home had recently undergone an electrical testing program and this certificate was being maintained centrally at the companys head offices. Fire doors were not chocked open and door guards had been fitted where appropriate. The communal areas of the home were clean, tidy and free from odour. Residents spoken with confirmed that their own personal rooms were kept clean and tidy. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 12 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 27 The care staff at Croft House had received training that enabled them to competently do their job thereby enabling them to maintain the safety and well being of the residents. EVIDENCE: Duty rotas examined during the inspection showed that staff were employed in adequate numbers to meet the collective needs of the residents. Staff spoken to during the inspection indicated that they worked as a team to deliver a good service to the people who lived at the home. A resident spoken with commented that “they had no complaints about the staff, they always are ready to help me and have time to chat to me”. 75 of the current care staff have a qualification at NVQ level 2 or higher in the care.Staff have also received training in other important areas of care e.g. first aid, infection control and the protection of vulnerable adults. Staff spoken to were positive in their comments about the levels of training they had received and how they would apply it in their day-to-day care role. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 13 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 31 NMS 33 NMS 35 NMS 38 Croft House currently does not have a registered manager in day-to-day charge of the home. Though the home is currently meeting the managerial needs of the residents on a temporary basis it is essential that the company appoints a new manager as quickly as possible to ensure that the home is run in the best interests of the residents. EVIDENCE: Currently the home has not got a registered manager. The parent company has put in temporary management systems to ensure the day-to-day running of the home is maintained for the benefit of the residents whilst a new manager is sought. The home is regularly visited by the company’s responsible individual and audits are undertaken at the time of these visits however this information was not been passed on regularly t the Commission for Social Care Inspection. The company are developing quality assurance systems that will take account more fully of the views of family, friends and stakeholders in the community. The policies, procedures and practices were being reviewed on an annual basis by the home and company. Written records were being kept of all financial transactions made by the home on behalf of the residents. There
Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 14 were secure facilities available for residents to keep their valuables safe and the home had suitable insurances in place. There were no outstanding issues from environmental health inspections or the fire and rescue service. Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 16 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. 1 Standard OP31 Regulation 8 Requirement the home must appoint a registered manager to take charge of the day-to-day running of the home Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Croft House DS0000007462.V275605.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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