Inspection on 14/02/08 for Croft House

This inspection was carried out on 14th February 2008.

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

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 19/01/10

Croft House 30/05/06

Croft House 13/02/06

Croft House 24/10/05

Croft House 21/02/05

Croft House 31/01/05

Croft House 18/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Croft House Croft House Carlyle Crescent Shotton Colliery Durham DH6 2PB Lead Inspector Karena Reed Key Unannounced Inspection 14th February 2008 1:30 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.V356757.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. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft House Address Croft House Carlyle Crescent Shotton Colliery Durham DH6 2PB 0191 5261132 P/F a.peacock@hotmail.co.uk www.croftcareservices.co.uk Croft House (Care) Limited 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) Mrs Janice Cockfield Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th May 2006 Brief Description of the Service: Croft House is a large detached house situated in a rural area in the centre of Shotton Village. Croft House is owned by Croft House (Care) Ltd. The home is registered to provide personal care to twenty one adults aged over sixty five years. Nursing care is not provided. Each person has their own bedroom and they share communal areas, which includes a dining room and two lounges, one of which is used for smoking. There is a garden for residents at the rear of the home as well as a car park for visitors. A Statement of Purpose and service user guide are available at the home for residents who are interested in coming to live at the home. The guides describe the services and facilities provided by the home and how staff are trained to meet service users’ care and support needs. CSCI Inspection reports are also available at the home detailing the quality of care provided by the home. Fees payable for living at the home at the time of inspection in February 2008 are £382. Additional charges are payable for hairdressing, private chiropody, personal toiletries and personal newspapers. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We looked at: • • • • • Information we have received since the last inspection on 30th May 2006. How the service dealt with any complaints and concerns since its last inspection. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on February 14th 2008 During the visit we: • • • • • Talked with people who use the service, relatives, staff, the person in charge and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. We told the provider what we found. Surveys were sent to people who use the service, 0 were returned. Surveys were sent to care professionals and relatives, 0 were returned. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The Statement of Purpose and service user guide must be updated. People who use the service must have the opportunity to go out. Vegetables must not be prepared and left overnight standing in water. Fire exits should be alarmed in the interests of safety. All fire doors must close to their rebate in the interests of fire safety. The two lounges and identified bedroom must be decorated in the interests of comfort of people who use the service. The vibrating pipes must be examined and serviced to ensure they stop vibrating around the top floor of the building. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 7 The top floor landing carpet must be cleaned or replaced in the interests of health and safety. Chairs in both lounges must be cleaned or replaced in the interests of health, safety and comfort. 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. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 8 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.V356757.R01.S.doc Version 5.2 Page 9 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): 1, 3, 4 and 5. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Information is given to people who may come to live at the home about the services available. The home collects enough information about the needs of people who may come to use the service before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of people who live at the home and to provide the necessary levels of care and support to individual people. People who may be deciding about whether to live at the home and their relatives are very welcome to visit the home to assess its suitability. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. They provided detailed information in an interesting and way but it needed updating to show there was a new manager at the home. Records for four of the residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they are aware of some of the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults, Palliative Care, Memory Loss and National Vocational Qualifications at levels 2 & 3. Staff are to receive training about; incontinence, depression and infection control memory loss and infection control. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are good arrangements in place to ensure that the health and social care needs of residents’ are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans show the amount of care and support that staff are providing to residents. There are full arrangements in place to ensure residents health care needs are met. Staff receive training before they are able to administer medication to residents. Residents are treated with respect and their right to privacy is upheld. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 12 EVIDENCE: There are detailed assessments in residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show district nurses visit the home as required and residents are helped to use chiropody and optical services at least annually or as often as required. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents are respected. All of those residents spoken to said that they were treated well by the staff and are well cared for. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service Some activities and entertainment are available for residents. Residents maintain contact with family and friends as they wish. Staff help residents to exercise some choice and control over their lives. The diet of residents is wholesome. EVIDENCE: Some activities are available for people who live at the home these include: baking, quiz nights, arts and crafts, chair exercises, DVD’s, sing-a-long, manicurist, hairdressing. Various parties are also arranged, which are well supported by relatives and families. The Salvation Army visit and other Church Services can be arranged to take place within the home. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 14 Residents have the opportunity to go out with relatives but some people who live at the home did say they would like the opportunity to visit the local community with staff. Staff support residents to keep in touch with relatives. Some people who live at the home said at inspection: “A little more stimulation would be nice.” Staff ask each resident about their wishes, interests and choices. The home’s menu is made up of the known likes and dislikes of the residents. Residents are also asked daily what they wish to eat from the menu selection. At least two hot meals are provided daily and an alternative is available Residents were very positive about the food: “Meals are very good.” On the day of inspection the lunch served was braised steak, mashed potatoes and vegetables and chocolate gateau, yoghurt or egg custard for pudding. The home was advised vegetables should not be prepared and left standing in water over night for use next day. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 15 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): 16 and 18. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. A complaints procedure is available for the use of residents and relatives. Systems are in place to protect people who live at the home from abuse. EVIDENCE: There is a complaints procedure, if complainants are not happy with the homes investigation and response. The home’s complaints procedure contains details of how to contact CSCI to make a complaint. Three complaints have been received and satisfactorily resolved since the last inspection. The home keeps a record of complaints. Residents and their families are also asked if they have any complaints. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Some staff have completed a Dementia Care course which has given them more insight into the needs of people with memory loss. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 16 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): 19, 25 and 26. People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents live in quite a homely, comfortable and safe environment. There is a quite a good standard of hygiene in some areas of the home. EVIDENCE: Since the last inspection the hallways have been decorated. The dining room, bathrooms and some bedrooms have been decorated. New DVD players and a television have been purchased. The top floor landing carpet was soiled and stained. The two lounges both require decorating. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 17 There was a noise of vibrating pipes around the top floor of the home and this was particularly evident in bedroom 3. Many of the lounge chairs in the two lounges were frayed and stained. Some of the doors on the ground floor did not close fully to their rebate. Fire doors were not alarmed although some lead out onto a main road. The home has enough sitting and dining space. Residents can see visitors in private in their own rooms. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. There are sound recruitment policy and practices in place to protect residents. Staff are trained to meet the care needs of residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8.00am - 3.00pm 3.00pm - 10.00pm 10.00pm – 8.00am 3 care staff 2 care staff 1 waking and I sleep in staff member. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 19 There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, cleaning and maintenance. The necessary checks are being carried out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. There is a stable committed staff team and there is a low turnover of staff. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Over 75 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Staff training carried out includes: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults National Vocational Qualifications at level 2 & 3. Staff have also received training about; memory loss, palliative care and depression. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 20 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): 31, 33, 37 and 38. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ live in a home that is quite well run and managed for the benefit of residents. The standard of record keeping is good. The health, safety and welfare of residents and staff are mostly promoted and protected. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager started working at the home in October 2006. Mrs Cockfield has many years experience of working with older people and has the necessary management and care qualifications. A sample of records were inspected which included: the Home’s Statement of Purpose and service user guide, the home’s maintenance contracts, 4 care plans, the fire log, accident book, admission /discharge book, complaints record, staff communication book, staff meeting minutes and three staff files. All records as required by the Care Homes Regulations 2001 were well documented and completed as required apart from: Staff meetings take place regularly and residents and relatives meetings are planned to take place on a regular basis. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment were all up to date apart from the fire log did not accurately record when the emergency light and fire extinguisher checks were carried out. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 22 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 2 x 3 3 3 x 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 2 x x x x x 2 2 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 x x 3 3 Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 23 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 2. 2. 3. 4. Standard OP1 Regulation 6ab 16(2)(i) 13(4)(a) 23(4)(c) (i) 23(2)(j) Requirement The Statement of Purpose and service user guide must be updated. Vegetables must not be prepared and left standing in water over night. The fire doors leading to the outside of the building must be alarmed. Doors must close fully to their rebate in the interests of fire safety. The vibrating pipes must be serviced and an adequate supply of running water must be provided to all residents’ bedrooms. The landing carpet and lounge chairs must be cleaned or replaced. The lounges and identified bedroom must be decorated. The necessary fire checks must be carried out within the prescribed timescales. Timescale for action 30/04/08 30/03/08 30/06/08 30/03/08 30/06/08 OP15 OP19 OP19 OP25 5. 6. 7. OP26 OP26 OP37 23(2)(d) 23(2)(d) 23(4)(c)(i v) 30/05/08 30/05/08 30/03/08 Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 24 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 OP13 Good Practice Recommendations People who use the service should have more opportunities to go out of the home. Croft House DS0000007462.V356757.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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. 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