Inspection on 26/05/05 for Cromarty House

This inspection was carried out on 26th May 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

Cromarty House 18/07/07

Cromarty House 06/07/06

Cromarty House 13/12/05

Cromarty House 02/02/05

Cromarty House 29/07/04

Cromarty House 03/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Cromarty House 11 Priory Road Bodmin Cornwall PL31 2AF Lead Inspector Elaine Bruce Unannounced 26 May 2005 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cromarty House Address 11 Priory Road Bodmin Cornwall PL31 2AF 01208 78607 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) rogertarrant@hotmail.com Mr Roger Tarrant Mrs Debra Tarrant Miss Katherine Maggs Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 6 adults with a learning disability (LD) aged 18 to 65 years. Date of last inspection 02/02/05 Brief Description of the Service: Cromarty House is a detached property set in its own grounds with private parking at the rear of the house. The home is within easy walking distance of Bodmin town and shopping area. Cromarty House provides care and accommodation for up to six people with a learning disability, some of who may have challenging behaviour. The home prvovides six en-suite single bedrooms and well-furnished communal areas. The accommodation is on two floors; three ground floor bedrooms and three first floor bedrooms. There is an additional bathroom on the first floor and an additional toilet on the ground floor. There is a garden area for the use and enjoyment of the service users. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 26th May 2005 over 4 hours and was carried out as an unannounced inspection. The inspection took place around the routine of the house (and was therefore shorter in hours) to allow the service users their afternoon visit out of the home with the staff. An inspection of the communal rooms took place and service users and staff were spoken to. Care records, staff files and policies and procedures were inspected. One of the registered providers arrived during the course of the inspection. What the service does well: What has improved since the last inspection? A number of changes are presently taking place at Cromarty House following a recent complaint received at Social Services and shared with the Commission for Social Care Inspection. The registered providers have written in detail to the Commission for Social Care Inspection with an action plan which is to be followed up by the Commission for Social Care Inspection. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 6 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. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: None of the standards in this section were inspected on the 26th May 2005. There have been no recent admissions to the home. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Daily records and care plans evidence that the care needs of the service users are being met. EVIDENCE: Each service user has an individual plan of care that is continually re-assessed and reviewed. The home operates a key worker system through which service users are supported to participate in the review process. The care plans include detailed risk assessments that are presently being reviewed to include information on finances. The daily records support the care plans. It is recommended that as the care plans are held separately to the daily records this information is always available to the care staff. A discussion took place with the registered provider on possible improvements to care planning recording which will be followed up at the next inspection. The home has a comprehensive risk assessment procedure. Service users have risks identified within their care plans with individual risk assessments on file. The comprehensive risk assessment is presently being updated to include information on finances. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,15 and17 Service users are part of the local community. The meals being offered in the home are presently being reviewed to ensure healthy eating. EVIDENCE: Documentation held on the service users evidences that they have access to community facilities, for example on the day of the inspection all of the service users were going to be going out for a walk in the afternoon at a local woods. On the morning of the inspection one of the service users went shopping locally with a staff member for food provisions. This took place after they had taken one service user to a local day centre. A diary is kept by each service user and where they are able they fill this in themselves. Those service users who are not able are supported by the staff to undertake this. The diaries evidence the involvement of the service user in the local community. The visitors’ book evidences who has been to the home. The registered provider advised that the home does have an open door policy for visiting (at reasonable times) but that some visitors rang first before visiting to establish that a particular service user was in. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 11 As some of the service users attend day facilities, the main meal of the day is taken in the evenings. Some of the service users have complicated care needs around meals and special diets have to be catered for. All staff have responsibility for meal preparation. A healthy eating programmed is encouraged and all the meals being offered in the home have recently been reviewed by the registered provider and a dietician to ensure that they are nutritious. This will be followed up and monitored by the Commission for Social Care Inspection on future visits to the home. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: None of the standards in this section were inspected on the 26th May 2005 Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The registered provider has responded with a detailed action plan to a recent investigation by The Commission for Social Care Inspection. EVIDENCE: Prior to the unannounced inspection of the 26th May 2005 a complaint had been made to Social Services about Cromarty House. This information had been passed onto The Commission for Social Care Inspection and a detailed action plan has since been received by the registered providers to address the issues in the complaint. An additional complaint has been received at The Commission for Social Care Inspection which the registered provider was advised of on the day of the inspection. Further investigation may be required in relation to this complaint pending permission from the complainant. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The standard of the environment within Cromarty House is good providing service users with an attractive and homely place to live. EVIDENCE: The home offers a comfortable environment suitable for it’s stated purpose. Furnishings and soft furnishings are of good quality and domestic in style. The communal space includes a spacious lounge/dining room and a breakfast eating area. These areas are well maintained. All service user bedroom accommodation is in single rooms, all of which are en-suite. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34 and 35 Recruitment procedures for staff are satisfactory. Staff turnover has been high of late but this has now hopefully stabilised. Staff are due to receive learning disability training soon which will ensure that they can meet the care needs of the service users. EVIDENCE: All staff have job descriptions, which includes their roles and responsibilities. In addition staff are provided with contracts of employment. Staffing levels on the day of the inspection included two carers with the registered manager later on in the day. The home does not provide waking night staff. Two care staff members sleep on the premises during the night. The home has a recruitment procedure that includes equal opportunities. Two written references are taken prior to the employment of a new staff member and a criminal records bureau check is also undertaken. The registered provider explained that there had been some difficulties over retaining staff recently but this situation now appeared to be resolved. The difficulties of accessing training for staff that is specifically linked to learning disability was discussed. There are though plans for staff to attend a Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 16 new course soon. Statutory training was found to be up to date but there were some gaps around fire drill training for night staff members. In addition it was also noted that the testing of the fire alarm system was out of date which must also be addressed. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed at the inspection on the 26th May 2005. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 x 3 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cromarty House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 19 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 Not at this inspection 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 6 35 Good Practice Recommendations To make the care plans available at all times to the staff To ensure that fire drill training is up to date for night staff and that the testing of the fire alarm system is taking place regularly. Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell, Cornwall PL25 4AD 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 Cromarty House D52-D04 S44661 Cromarty House V227418 260505 Stage 4.doc Version 1.30 Page 21 - 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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