Inspection on 29/06/05 for Croftside

This inspection was carried out on 29th June 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 23/11/05

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 Margaret Drury Unannounced 29 June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Croftside Address Beetham Road Milnthorpe Cumbria LA7 7QR 015395 63325 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cumbria Care Terence Michael Pollard Care Home 34 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 2. A maximum of thirtyfour (34) older people (OP) may be accommodated, ten (10) of whom may have dementia (DE/E). 3. The staffing levels in the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. 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. 5. 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. Date of last inspection 22 November 2004 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 amenties, 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 facilies and a large lounge that can be used for group activities, visiting entetainers 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 handbasins and there are three with en-suite toilet facilities.The toilets and bathrooms are equipped to assist people with disability. There are well kept gardens around the building and car parking facilities are provided. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one day. During the inspection, time was spent talking with the manager 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 of the residents individually and in groups, and all parts of the home were looked at. What the service does well: What has improved since the last inspection? Since the last inspection one wing of the home has bee redecorated and some of the bedrooms have had new carpet laid. The large lounge has also be reCroftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 6 carpeted. New staff have been appointed, which means the home is now fully staffed. New policies and procedures received from head office are now implemented. 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 F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 standard(s) 1, 3 & 5 Residents and their families benefit from the information provided prior to admission. This ensures all parties can make an informed choice about moving into the home. EVIDENCE: The home’s statement of purpose and other information outlining the facilities on offer at the home is made available to all prospective residents and their families. There are also copies on display in the hall. The home has a full admission procedure, which means all residents have a full assessment prior to admission to ensure all the needs can be met and the correct level of care delivered. Family members and/or friends are invited to the home to meet the staff and look around before any resident is admitted. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 standard(s) 8, 9 &10 The medication at this home is well managed promoting good health. Residents benefit from good working relationships between the staff and healthcare professionals. EVIDENCE: Details of healthcare needs and professional visits are recorded on the daily record sheets and residents said that they only have to request a G.P. visit and the appointment is made. The home has a full medication policy and procedure provided by head Office and responsible staff have received adequate training. Certain aspects of the procedure are still under discussion and need clarification. The care staff spoke to the residents in a courteous and polite manner and always knocked before entering bedrooms. Residents said that the staff always give personal care in a way that preserves their privacy and dignity whilst encouraging independence. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 standard(s) 13, 14 & 15 Social activities are well organised, creative and provide entertainment and stimulation for people living in the home. Links with the local community are good and meals nutritious and balanced, offering a healthy and varied diet. EVIDENCE: Visitors are welcome at the home at any time and they are always offered refreshments during their visit. A recently organised open day for families and friends was a great success. The home has a programme of activities on offer to those who wish to join in, with the twice-monthly outing proving very popular. Residents said that they are always given the choice of taking part or not. Links with the local community are through open days and visitors from local schools and churches. Residents said they decided themselves how they wished to spend their day. The menus are displayed in the home and there is a choice offered at each meal providing a well-balanced, nutritious diet. Special diets are catered for. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 standard(s) 16 &18 Staff have a good knowledge and understanding of adult protection issues, which protects the residents from harm or abuse. Residents benefit from the complaints procedure. EVIDENCE: The home has an up to date complaints procedure and residents said they are listened to when raising an issue with the manager or staff. There is a copy of the procedure on display in the hall. taff have completed abuse training and those interviewed said they found it informative. All showed an awareness of adult protection issues. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 24 &26 The standard of the environment is good and provides the residents with an attractive and homely place to live. Recent redecoration has improved the appearance of one of the wings. EVIDENCE: Since the last inspection, one wing of the home has been completely redecorated with some of the rooms having new carpets. The large lounge has also had new carpet laid. There is ample communal space for residents to use although one resident did remark that the largest residents’ lounge was also used for staff training. Residents rooms are nicely decorated and all contain personal items brought from the residents’ own homes. Domestic arrangements in the home provided clean and pleasant surroundings. Plans for alterations to the ground floor have been agreed in principal and the manager hopes these will be completed and finalised in the near future. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 &30 Residents benefit from a trained and experienced staff team but it would be of greater benefit if the extra staff hours on the rota Monday to Friday were made available at the week-end. All staff are appointed following a robust and thorough recruitment procedure. This ensures maximum protection for people. EVIDENCE: The manager uses all the allocated care staff hours, which currently allow for one extra member of staff to work between the units from Monday to Friday. It would be beneficial to the residents and staff if these extra hours could be extended to cover the weekends. Cumbria Care has a full recruitment and selection policy with all the necessary checks being completed prior to the start of employment. Staff training is up to date with a number of staff already qualified to NVQ levels two and three and others currently working towards the award. Staff supervision contributes to the competency of the staff. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 &38 The manager has a good understanding of the areas in which the home needs to improve. Planning is in place and sets out how this improvement is going to be resourced and managed. Staff benefit from regular management supervision and appraisals. Health and safety policies provide a safe environment for staff and residents. EVIDENCE: The registered manager has over six years managerial experience in care of the elderly. He is motivated and encourages the staff to give a high level of care. He ensures all the policies and procedures are implemented in order to safeguard the residents. Residents said that the atmosphere in the home is warm and friendly and they felt completely at home. Staff are supervised on a regular basis but the manager must make sure the records are all up to date. The annual health and safety audit has just been Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 15 completed and the manager will provide an action plan in order to ensure all the requirements are fully met. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 2 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x 3 x x 2 x 3 Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 Page 17 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 2. Refer to Standard 27 36 Good Practice Recommendations It is recommended that extra staff hours be made available for the week emds It is recommended that all staff are supervised six times a year. Croftside F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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 F58 F10 s36503 croftside v233065 290605 ui stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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