Inspection on 23/11/05 for Croftside

This inspection was carried out on 23rd November 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

Croftside 31/07/07

Croftside 20/04/06

Croftside 29/06/05

Croftside 22/11/04

Croftside 06/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Croftside Beetham Road Milnthorpe Cumbria LA7 7QR Lead Inspector Mrs Margaret Drury Unannounced Inspection 23rd November 2005 08:50 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 Croftside DS0000036503.V259626.R01.S.doc Version 5.0 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. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Croftside Address Beetham Road Milnthorpe Cumbria LA7 7QR 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) 015395 63325 Cumbria Care Mr Terence Michael Pollard Care Home 34 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (34) of places Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, and when one of the shared spaces becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. The Service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of thirtyfour (34) older people (OP) may be accommodated, ten (10) of whom may have dementia (DE/E). The staffing levels in the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 29th June 2005 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Croftside is owned by Cumbria Care, an internal business unit of Cumbria County Council. The home is operated on a daily basis by Mr Terry Pollard. Croftside is registered to care for up to thirty-four older people, including ten with various forms of dementia. The home is situated in a residential area of Milnthorpe and is close to all local amenities, shops and bus routes. The home is purpose built and situated over two floors, the upper floor being serviced by a passenger lift. All rooms are currently used for single occupation. The home provides lounge and dining facilities with a large lounge that can be used for group activities, visiting entertainers or parties. There is a small area on the first floor for any residents wishing to smoke. Some of the bedrooms are a little small but all have wash hand basins and there are three with en-suite toilet facilities. The toilets and bathrooms are equipped to assist people with a physical disability. There are well kept gardens around the building and car parking facilities are provided. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year and took place over one morning. The inspector also met with the Estates Manager from Cumbria Care to discuss the possibility of internal alterations to the building. As the registered manager was on sick leave, two supervisors were available to assist the inspector. During the inspection, time was spent talking with the supervisors and care staff on duty, looking at records to do with the day-to-day running of the home and the care of residents. Time was spent with some of the residents individually and in groups, and some parts of the home were looked at. The inspector was also able to speak with family members who were visiting at the time of the inspection. The standards that were not inspected on this occasion were all met during the previous inspection that took place earlier in the year. What the service does well: What has improved since the last inspection? Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 6 The internal medication policy has now been fully implemented and a senior member of staff dispenses the medication with another acting as “checker”. All staff supervision is now up to date with staff receiving supervision six times a year. 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. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 7 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 Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 8 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): 2, 3 & 4 Residents benefit from a comprehensive admission process that includes a thorough assessment of need prior to admission. Families and friends benefit from the opportunity to visit the home to meet the staff and assess its suitability and facilities on offer. EVIDENCE: All residents are given a contract/terms and conditions on admission with copies are kept on file for examination. There is a clear admission procedure to the home, which includes a full assessment of needs and capabilities being completed to ensure the correct level of care is delivered. Residents are families are invited to visit the home prior to admission, in order to assess its suitability to see whether or not the staff can deliver the care to meet the assessed needs. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 9 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): 7, 8 &10 Residents benefit from a comprehensive care planning system, which ensures their health and social care needs are met in a way that promotes their dignity and independence. EVIDENCE: The home has a detailed corporate care planning system that was examined during the inspection. The care plans contain information about residents’ care needs, including moving and handling assessments. They are regularly reviewed and updated by the relevant supervisor and key worker, together with the resident or family member wherever possible. The plans provide the staff with the information needed to deliver the correct level of care. Details of healthcare needs and professional visits are recorded on the supervisors’ daily record sheets. Residents who spoke with the inspector said they were always spoken to politely and that the staff “looked after them very well”. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 10 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): 12, 13 & 14 Residents benefit from “an open door” policy which means that visitors are welcome at any time. Residents also benefit from being able to exercise choice about how to spend their time during the day. EVIDENCE: There are some activities organised by the staff for those who wish to join in. The residents who spoke with the inspector said they were able to choose not to participate if they wished. Outside entertainers also visit the home from time to time. Christmas entertainment has already been organised, together with a coffee morning and open day. Invitations are given to families and friends as well as people from the local community with whom the home has good links. Staff and residents told the inspector that they had had some enjoyable trips out in a mini bus during the summer months. The home has it’s own “shop” for the residents to purchase personal items and sweets. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 11 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): 17 & 18 The home has a satisfactory complaints system with evidence that residents and families feel that their views are listened to and acted upon. Staff understood adult protection issues, which safeguards the residents. EVIDENCE: Discussions with the supervisors evidenced that “in house” training in “protection of vulnerable adults” is ongoing. Three supervisors have completed training courses and are now able to cascade the information down to the care staff. The two supervisors who assisted with the inspection had an in-depth knowledge of adult abuse issues and knew what steps to take should the occasion arise. All service users were given the opportunity to take part in the political elections either in person or through the postal voting system. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 12 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): 21, 22, 23 &25 The standard of the environment within this home is quite good providing the residents with a warm and homely place to live. EVIDENCE: There are ample communal baths and toilets in the home, all equipped to assist those residents with a physical disability. There are also handrails on the corridors and a call system that covers all areas of the home. All the residents have single accommodation and although some rooms are a little on the small side, those who spoke with the inspector said they were happy with their accommodation. Domestic arrangements in the home ensure that it is clean and hygienic. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 13 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): 28, 29 & 30 An experienced and trained staff group, who are appointed following a robust and thorough recruitment procedure, cares for the residents. This ensures maximum protection for those living in the home. EVIDENCE: Cumbria Care has a full recruitment and selection process that is used throughout the organisation. This ensures that no member of staff starts work until all the required checks are completed. The inspector was able to check a sample of personnel files and found them to be up to date and in order. Staff training is ongoing and the inspector was able to examine the training matrix and records during the visit. Training includes, moving and handling, adult protection, safe handling of medication, infection control and NVQ level 2. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 14 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): 32, 33, 34, 35 & 36 Although the manager was not available on the day of the inspection it was clear that the supervisors provided leadership and guidance to the staff to ensure the residents receive consistently good care. EVIDENCE: Discussions with the supervisors during the inspection evidenced that they work together as a team to ensure the residents receive a consistently high standard of care. The residents said the home was “a nice place to live in “ and that everyone “did their best to look after them”. Cumbria Care is responsible for the viability of the home and all the finances are dealt with at head office. The home does hold personal monies and behalf of some residents and the inspector checked the records held on their behalf. All transactions were recorded and signed by two members of staff. Any receipts obtained were held on file with the cash balance. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 15 Staff supervision records were checked and found to be up to date and now meet with the recommendation made during the last inspection. Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 16 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X X 3 3 3 X 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 3 3 X x Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 17 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. 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 OP27 Good Practice Recommendations It is recommended that extra care staff hours be made available for the weekends Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Croftside DS0000036503.V259626.R01.S.doc Version 5.0 Page 19 - 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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