Inspection on 14/04/08 for Crofton Court

This inspection was carried out on 14th April 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Crofton Court Edward Street Blyth Northumberland NE24 1DW Lead Inspector Anne Urwin Brown Key Unannounced Inspection 14th April 2008 08:45 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 Crofton Court DS0000070968.V362214.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. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crofton Court Address Edward Street Blyth Northumberland NE24 1DW 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) 01670 354 573 01670 359 038 croftoncourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Dawn Hill Care Home 50 Category(ies) of Dementia (50), Old age, not falling within any registration, with number other category (50) of places Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 50 2. Dementia - Code DE, maximum number of places 50 The maximum number of service users who can be accommodated is: 50 7th November 2006 Date of last inspection Brief Description of the Service: Crofton Court is a purpose built two-storey care home that was first registered in March 2004. The home is situated in Blyth town centre and is close to all amenities. There are good transport links close by to Newcastle and the surrounding area. There are 50 single bedrooms with en-suite facilities. There are lounge and dining areas on each floor. The home is well decorated and comfortably furnished to a very good standard. It meets all the National Minimum Standards for care home accommodation. There is very little space outside the home, however it is planned to lay paving and gravel to make the area more attractive. Some seating outside is available. Information about the home is available in the service user guide together with copies of previous inspection reports. These are available in the main entrance hall. Fees range from £419.08 to £471.00. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 3 star. This means that people using this service experience excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 7th November 2006. • How the service dealt with any complaints & concerns since the last visit. • 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 & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 14th April 2008 and this lasted almost eight hours. During the visit we: • Talked with people who use the service, relatives, staff, the manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager what we found. What the service does well: The transfer of ownership has been well organised and managed by the staff at the home so that the care of the people living there has not been adversely affected. The needs and wishes of each person living at Crofton Court have been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 6 Good plans of care and risk assessments are completed for each person. This meant staff had the information they needed to support each person. Peoples’ health care needs are effectively met by good care practice and effective joint working with health professionals. People are encouraged and supported to make decisions about their daily lives and preferences so that they retain their independence and individuality. Support is provided to encourage people to take part in and continue to enjoy activities and interest in line with their needs and preferences. People living at Crofton Court are encouraged and supported to maintain contact with their friends and family. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the home provided a varied, nutritious diet to suit the needs of the people living there. Staffing levels are good and appropriate training is provided to ensure that staff have the skills and knowledge to provide high quality care. Effective management systems and quality audits ensure that the home meets its aims and objective to provide individual support to each of its residents. Health and Safety systems protect residents and staff. What has improved since the last inspection? What they could do better: The open louvre window in the laundry should be replaced to prevent draughts on the first floor. The transfer of information on to the new care planning system should be completed and this will aid the good delivery of care to individuals. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 7 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. Crofton Court DS0000070968.V362214.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 Crofton Court DS0000070968.V362214.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): Standards 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information is provided for people thinking about living at Crofton Court so that they are able to decide whether or not to move into the home. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met at Crofton Court. Intermediate care is not provided. EVIDENCE: The Statement of Purpose/Service User Guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes information about the services offered by the home Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 10 including staffing, who the home can care for, social activities, and arrangements for religious observance as appropriate, complaints, care planning, and the homes environment. Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. Three relatives and one resident said they had sufficient been given sufficient information about the home to make an informed choice about the move. Individual records contain good comprehensive pre-admission assessments, which are completed by the senior staff. Staff are in the process of recording each person’s information on to the new Southern Cross recording system. This process is expected to take a little time and in the meantime the existing system is being maintained. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Staff draw up individual plans of care using the information in the assessment. Six people spoken with during the inspection said that they were very satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported when they came to live at the home by both the Manager and the staff. The home is not registered for, and therefore does not provide, intermediate care. Crofton Court DS0000070968.V362214.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): Standards 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of care planning is very good and is better where the new systems have been introduced. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach. This helps to keep people healthy. Good procedures and practice for dealing with medicines protects those living at Crofton Court. EVIDENCE: Each resident has an individual plan of care that is based on the admission assessment and is then added to during the placement. The care plans contain comprehensive assessments for nutrition, skin care, moving and assisting, and continence promotion as well as a dependency rating. These are in the process of being transferred to the Southern Cross systems that provides good arrangements for carrying out regular reviews of individual’s care. Risk Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 12 assessments are in place for specific interventions, and these are updated when necessary. Each person has regular reviews and they are involved in this process together with relatives/representatives if appropriate. Seven people said that they are very satisfied with the care they receive, and that staff are caring and kind. Staff are very well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are clearly recorded. People living in the home looked well cared for. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. People said that they could see the doctor when they needed to. Records showed that the home seeks expert advice from external professionals if necessary and that they monitor peoples’ health needs effectively. A hoist and other equipment is available for those who need it. Residents said that the staff are aware of their health needs. Three relatives and four service users said they were satisfied that they can access the health services that they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. Staff training in handling medicines has been provided. Storage arrangements for medicines were good and individual records checked balanced with the records kept. Eye drops are properly stored. Arrangements for ordering and disposal of medicines are good with staff checking prescriptions before they go to the pharmacy. Systems are in place for risks to be assessed if people want to manage their own medicines and lockable storage is provided. Good arrangements are in place for storing oxygen. Staff have received training in safe handling of medicines. Residents said that the staff treated them very well, one person said that the staff were “brilliant”. Staff had a good rapport with residents. Relatives said that they are very helpful and that people living in the home feel well supported. Staff guidance refers to equality and diversity and there is an emphasis on providing individualised care. Crofton Court DS0000070968.V362214.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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good opportunities are provided for people to take part in a variety of leisure pursuits and activities that helps them to maintain good links with the local community. People using the service are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual preferences and lifestyles. People are give plenty of choice and are supported sensitively to eat meals where they have specific needs. EVIDENCE: People living at Crofton Court said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a weekly programme of activities and information about this is made available on the notice boards on each floor. An activity co-ordinator is employed who arranges the programme of activities and outings. She said that she is able to spend time with people in groups and individually. The activity co-ordinator keeps records of attendance and other relevant information in an appropriate Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 14 manner. People coming to live in the home receive information that describes regular activities and outings organised. The atmosphere is homely and during the inspection it was observed that people are encouraged to make choices about where and how they spend their time. There are videos, music tapes, newspapers and books available. Two people said they much preferred spending time in their rooms where it was quiet and they could read or watch television. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Four visitors said that they had enough information about arrangements for visiting when their relatives/friends were admitted. They also said that staff are welcoming and they enjoy visiting the home as there is a relaxed atmosphere. Five visitors said that they feel very satisfied with the support they get from staff and they said their relatives are very well looked after. One person said “It could not be better here.” People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. Staff encourage people to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are able to follow their own religion and local ministers visit the home regularly. The menu shows that a varied diet is provided that offers choice at each mealtime and these are regularly reviewed. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. Very positive comments were made in the questionnaires about the quality and choice of food available. One person said “the cook is very good and I have never not liked the food served.” Staff have completed Food Hygiene training. Records show that there are regular cleaning routines and temperature checks of food and fridges. The manager and her line manager regularly audit these records. Crofton Court DS0000070968.V362214.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: Guidance is available for dealing with complaints and the ethos of the home is to welcome complaints and learn from them. People living at Crofton Court said that they knew how to make a complaint and that they felt able to speak to the Manager or the staff if they have any concerns. One person said that “the Manager is very nice and I can talk to her at any time if I want to discuss anything.” Seven residents said that they would feel able to talk to the Manager about their concerns or complaints and were satisfied that she and staff would address their concerns. Five complaints have been made during the past year and records show comprehensive investigations were carried out within appropriate timescales. The complaints were resolved to the satisfaction of those making the complaints. Records of complaints are good and demonstrate that the home’s management takes seriously any complaints made. Staff were aware of how to help someone living at the home to make a complaint. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 16 Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. A copy of the Local Authority Protection of Vulnerable Adults guidance is available in the home. The adult protection team has investigated four incidents and records show the management of the home have responded appropriately and effectively in each case. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Crofton Court provides a safe, well-maintained homely environment that encourages independence. Good quality accommodation is available for individuals in single rooms with en-suite toilets. The home is clean, pleasant and hygienic. EVIDENCE: The physical environment of the home is well maintained and meets the individual requirements of the people living there. The accommodation is homely, clean, safe and comfortable. The home has good access to community facilities and services. People have access to specialist equipment and aids that are necessary to help them live as independently as possible. There is a shaft lift fitted at Crofton Court that provides good access Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 18 arrangements for people with physical disabilities. There is a selection of communal areas within the home that are furnished and decorated to a high standard. External space is limited and work is in progress to make this more attractive and accessible. People living in the home said that they feel very satisfied with the quality of the accommodation. One person said “ It is very comfortable here and I feel able to come and go as I like. I have been able to bring my own chair and other bits and pieces that make it almost the same as my own home was.” Bathrooms are well equipped and are homely. Sufficient baths and toilets are available to meet the needs of the people using the service. Aids and adaptations are fitted to maximise peoples’ independence. Each bedroom has its own en-suite toilet and wash hand basin. Bedrooms promote high levels of privacy and keys are available to each room. Rooms are comfortably furnished and show that individuals are encouraged to bring items from their previous home. People are able to make choices about the temperature of the heating in their rooms. The laundry is well equipped, organised and spacious. Staff have had infection control training. There is an open louvre window, which is very draughty and made the laundry very cold on the day of the inspection. This could affect the temperature of the upper floor. The manager has asked for this window to be replaced with a glazed window that can be opened or closed as necessary. Sluice facilities are good and well organised. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Crofton Court. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The service has appropriate numbers of staff at all times to support the needs, activities and aspirations of those people living at Crofton Court. The staff team are good at supporting each other and share skills and knowledge among themselves in a way that promotes good communication. Staff members’ roles and responsibilities are clearly defined and understood and appropriate job descriptions support this. People who use this service and their relatives said that staff are very skilled at providing good quality care and identifying individuals’ needs. Staff are able to demonstrate a good understanding of the needs of the people using the service. Residents spoke highly of the staff and said they responded quickly to any requests or needs. One person said “they(the staff) are brilliant”. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 20 Staff training is targeted and prioritised to allow staff to undertake training beyond basic requirements. Over 85 of staff have completed national qualifications in care. There is an ongoing training plan that identifies priorities and focuses on skills to improve outcomes for people living at Crofton Court. The service recognises the importance of good induction training in retention of staff. The manager said that there is specific training being provided to make sure that staff are clear about the philosophy, policies and procedures of the new owners Southern Cross. Recruitment practice and procedures are highly developed and has the needs of the people using the service as its focus. The home’s management sees the recruitment and retention of the right kind of staff as critical to the delivery of an excellent service. Equality and diversity policies are reflected in recruitment procedures. Records show that all checks are carried out and recorded to ensure that staff appointments are only made after the management has satisfied itself that applicants have the appropriate qualities to fully meet the needs of people living at Crofton Court. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the people living there. People living in the home and staff are protected by the effective systems and practices for health and safety. EVIDENCE: The Manager has an open style and has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability. Good management systems for strategic and financial planning are in place and the Manager has a clear vision of the home’s values Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 22 and priorities. The Manager communicates a clear sense of direction and is able to evidence a sound understanding and application of ‘best practice’ systems in relation to customer satisfaction, continuous improvement and quality assurance. One of the relatives of a person living in the home said “She (the Manager) is very approachable and responds promptly to any issues.” She undertakes regular training and understands and values the importance of her continuing professional development. There are good systems are in place for regularly checking out the quality of the service using questionnaires and audits. There is a particular emphasis on the provision of a “customer focused” service that suits the needs and wishes of the people living at Crofton Court. There are regular residents’ meetings and minutes are available to show these provide a forum for people to put forward their views about the operation of the service. Formal supervision for care staff is up to date and staff said that they are well supported by the management team. Practice and performance are discussed at supervision and training needs are identified from this. There is good evidence of effective communication systems and an open and transparent culture is fostered. Staff said that they had felt well supported by the Manager when the home was taken over by Southern Cross. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Records show that training in all health and safety matters is provided and individual training records reflect this and regular updates are planned. Good systems are in place for monitoring training and staff said that they receive this training. Health and Safety practice is regularly audited and records were available to show very good standards are maintained. Policies, procedures and risk assessments for safe working practices are in place to promote and protect residents and staff. Systems and records are in place to show that the home continuously improves its health and safety systems taking into account changing legislation and good practice. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Full details of accidents are kept and evidence was available to show these are monitored for trends. Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X 4 X 4 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NA STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations The open louvre window in the laundry should be replaced with a glazed window that opens to provide ventilation. This will prevent draughts on the first floor. Crofton Court DS0000070968.V362214.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. Extracts may not be used or reproduced without the express permission of CSCI Crofton Court DS0000070968.V362214.R01.S.doc Version 5.2 Page 26 - 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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