Inspection on 01/07/05 for Crompton Court Residential Care Home

This inspection was carried out on 1st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Crompton Court Residential Care... 12/03/07

Crompton Court Residential Care... 02/03/06

Crompton Court Residential Care... 15/11/04

Crompton Court Residential Care... 10/05/04

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 Crompton Court Crompton Street Kirkdale Liverpool L5 2QS Lead Inspector Beate Roth Unannounced 1 July 2005 09.30 st 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. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Crompton Court Address Crompton Street, Kirkdale, Liverpool, L5 2QS 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) 0151 298 1959 Highfield Care Home Properties No 2 Ltd PC Care Home Only 34 Category(ies) of OP Old Age 34 registration, with number of places Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15/11/04 Brief Description of the Service: Crompton Court is registered to provide care for up to 34 residents under the category of old age. The home is purpose built. The accommodation is provided on two floors with access to the first floor from stairs and a passenger lift. The home has thirty-three single and one double bedroom. All rooms have an en-suite toilet and a wash hand-basin. There is a conservatory, large dining room and a lounge situated on the ground floor. There is a further lounge on the first floor. Residents have access to one bath on the first floor and a shower on the ground floor. There is a private enclosed garden with seating available. Parking is available at the front of the home. The home is situated in the Vauxhall district of Liverpool, close to local amenities, road and bus routes. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a day and a half. During the inspection time was spent in the office examining records and policies and procedures and talking to the acting manager and deputy manager. A tour of the home was undertaken. Staff were observed delivering care to residents. The inspector spoke to residents and to staff. What the service does well: What has improved since the last inspection? What they could do better: Attention is needed to the bathroom facilities at the home. The flooring in two of the bathroom areas is marked. There are two baths at the home and one is currently out of use, action should be taken to make this available for service users. Fire training needs to be provided to staff within the limits recommended by the fire service. Advice has been given around improving a care plan so that more detailed information is available for staff. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 6 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. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 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 Crompton Court F52 F02 S25337 Crompton Court V235614 010705 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) 2, 3 and 5 New residents are provided with contracts and are fully assessed before they are admitted to the home in order to ensure their needs are met. EVIDENCE: A sample of contracts were examined. Each resident is provided with a contract after a period of settling in, usually within 4 weeks of admission. The contract contains all the required information. Extra charges are made for hairdressing, newspapers and chiropody, the statement of purpose and service user guide contains information around these additional services. A sample of new residents’ files were examined. There was evidence of appropriate assessments being carried out before new residents move to the home. There was also evidence that information is gathered from social workers and health professionals to inform the assessment. The acting manager or deputy undertake the initial assessment of prospective residents using a holistic assessment tool that provides the basis for ongoing care planning. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 9 Inspection of records and discussions with residents and the acting manager confirmed that residents are able to visit the home prior to them being admitted. Residents are admitted to the home following a six-week trial period where the placement is formally reviewed. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 10 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) 7 and 9 The needs of residents are well supported by the care planning processes in place at the home. The home’s policies and procedures for managing medicines safeguard residents. EVIDENCE: Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 11 A sample of residents’ records were looked at and indicated that residents have a detailed care plan in place. Assessments are undertaken in relation to: physical and social well being, pressure sores, manual handling, dependency, nutritional needs, continence, falls and individual assessments associated to the residents needs. Where a need is identified through the assessment process a care plan in relation to this need is devised. It is evident that care plans are being reviewed at least monthly and a written comment is provided in relation to the review. Care staff reported that they have ongoing access to care files and care plans and that they are able to contribute to the care planning review arrangements for residents they key work. There was evidence in the records that the views of residents and their relatives are obtained. A discussion took place with the acting manager around providing more information in the care plan for a resident around the action staff are to take to support them to manage their diabetes. The home has policies and procedures in place in relation to the management and administration of medicines. The home provides secure medicine storage facilities including a controlled drugs cabinet and a separate medicines fridge. Temperature recordings of the fridge are maintained. A sample of medication administration records were inspected and found to be in good order. Controlled drugs records were checked against stock held and were found to tally. Staff that administer medication have received medication training. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 12 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) 12 and 13 The daily routines at the home and activities on offer ensure that the preferences of residents are respected and their recreational interests promoted. The home ensures that the social and emotional needs of residents are promoted by maintaining community links and encouraging visitors. EVIDENCE: Discussions with residents indicated that daily life at the home meets their preferences. A good range of activities are provided. An activity co-ordinator works 12 hours per week organising and facilitating activities within the home, trips out and education programmes. Residents are kept informed by care staff, prior to activities taking place. There is also information about activities in the reception area. Records indicate the interests of residents, which inform the activities offered. A record is also made of any activities a resident takes part in. Some residents were enjoying a video or reading on the day of the inspection. Residents spoken with spoke positively about the activities that are available if they wish to take part. The effort and commitment put into the range of activities provided is to be commended. There are no restrictions in relation to visiting the home at reasonable times and there are adequate facilities for residents to receive visitors in private or in one of the communal lounges/dining areas. During the inspection a number of residents were receiving visitors and discussion with residents and visitors Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 13 indicates that the home actively encourages and facilitates visiting. A resident said visitors are “made to feel welcome.” The home maintains a number of links within the wider community including the local parish centre and community hall. The home has developed community links with Everton Football Club enabling residents to attend matches and take part in reminiscence talks and visits to the club. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 14 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 and 17 The home has a satisfactory complaints system with evidence that the views of residents and their representatives are listened to and acted upon. EVIDENCE: The home has a corporate written complaints procedure that states complaints will be responded to within 28 days. The complaints procedure is contained in the service users guide. Residents reported that if they wished to raise any issues about the standards of the service provided they would speak to the acting manager or deputy manager. No complaints have been made to the home or to the CSCI since the last inspection. There is a comment and suggestions book situated in the reception area. There was evidence that any matters raised receive a prompt and thorough follow up by the acting manager. Staff have received training around the homes complaint procedure. Information about advice and advocacy services is displayed in the reception area. Residents are supported to use these services. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 15 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 and 26 The home is generally well maintained and there is a good standard of cleanliness and hygiene, providing residents with a pleasant environment to live in. EVIDENCE: The home is purpose built to meet the needs of the residents. The home is generally well maintained both internally and externally. A handyman is employed undertaking maintenance tasks although contractors are used where appropriate. Since the last inspection, the majority of bedrooms have been redecorated. The home has a very well presented and stocked garden area. The requirement to take the necessary action in relation to the identified marked WC/bathroom floorings is outstanding from the last 2 inspections. In addition some attention is needed to the floor tiles in the laundry, kitchen and conservatory where some are cracked. The progress in addressing this will be looked at the next inspection. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 16 At the last inspection it was reported that the “Parker” bath facility on the first floor does not get used due to the restrictions of using a wheelchair and hoist in a confined area. This bathroom is currently being used as a storage facility. This means that residents have access to one bath on the first floor and a shower on the ground floor. The registered person should give consideration to replacing this Parker bath with a type of facility that fully meets residents’ needs. The home employs sufficient domestic staff and on the day of this inspection the premises was found to be very clean and malodour free. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 17 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, 28 and 29 The needs of residents are met by the numbers and skill mix of staff. The recruitment practices at the home safeguard the welfare of residents. EVIDENCE: The rota and a discussion with the staff and the acting manager indicated that there are sufficient numbers of staff to meet the needs of the residents living at the home at the time of the inspection. There is a clear staff structure in the home that includes the manager, deputy manager, senior care staff, care staff and ancillary staff. Of the sixteen care staff employed eleven staff have achieved NVQ level 2 and of these, two have progressed to level 3. A further three staff are undertaking the NVQ 2 and a further 5 staff are undertaking the NVQ 3. The organisation and the managers at the home are to be commended for their commitment to staff qualifying training and for their encouragement of individual staff to undertake these courses. Two new members of staff have been employed since the last inspection. The records of recruitment in respect of these members of staff were examined and contained all the required information. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 18 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 and 38 The policies and procedures of the organisation ensure that the health and safety of residents is promoted. EVIDENCE: The acting manager has been managing the home since January 2005. The acting manager was formerly the deputy manager for the home and prior to this worked at the home in a senior capacity. The acting manager has an NVQ 2 and 3 in care of the elderly and is planning to undertake the NVQ 4 in care and management shortly. The acting manager must submit an application to the CSCI so as her competence for this position can be assessed. The records of fire safety checks, electricity and gas were in order. Training records showed that staff are given appropriate training in safe working practices. The timescales recommended by the fire service for fire safety training (day staff every 6 months and night staff every three months) was not Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 19 being followed. The records of accidents were being appropriately maintained. It continues to be recommended that the home’s guidance document in relation to actions and observations to be taken following an accident should be amended to include observing and appropriate action taken in relation to service users vomiting or showing signs of nausea following an accident or fall. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 20 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 x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 2 x x x x x x 2 Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 21 yes 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 7 Regulation 15 Requirement The registered persons must ensure that the full range of support provided to a resident to enable them to manage their diabetes is documented in their care plan in order to provide clear guidance to staff. The registered person must ensure that the necessary action is taken in relation to the identified marked WC/bathroom floorings (previous timescale of 15/01/05 not met). The registered persons must ensure an application form is forwarded to CSCI with regard to the registering of a manager. The registered person must ensure that fire training is provided to day staff on a 6 monthly basis and night staff on a 3 monthly basis. Timescale for action 01/08/05 2. 19 23 01/10/05 3. 31 8 01/08/05 4. 38 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 22 No. 1. 2. Refer to Standard 19 38 Good Practice Recommendations The registered person should give consideration to replacing the Parker bath with a type of assisted bath facility that fully meets residents needs. The registered person should ensure that the home’s guidance document in relation to actions and observations to be taken following an accident should be amended to include observing and appropriate action taken in relation to residents vomiting or showing signs of nausea following an accident or fall. Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Liverpool Area Office 3rd Floor, 10 Duke Street Liverpool L1 5AS 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 Crompton Court F52 F02 S25337 Crompton Court V235614 010705 Stage 4.doc Version 1.40 Page 24 - 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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