Inspection on 12/03/07 for Crompton Court Residential Care Home

This inspection was carried out on 12th March 2007.

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

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

Crompton Court Residential Care... 01/07/05

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 Residential Care Home Crompton Street Kirkdale Liverpool Merseyside L5 2QS Lead Inspector Beate Roth Key Unannounced Inspection 12th March 2007 11:00 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 Crompton Court Residential Care Home DS0000025337.V328673.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. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crompton Court Residential Care Home Address Crompton Street Kirkdale Liverpool Merseyside L5 2QS 0151 298 1959 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) None Southern Cross Care Homes No 2 Limited Mrs Patricia Conder Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 Brief Description of the Service: Crompton Court is registered to provide care for up to 34 older people. 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 thirtytwo 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 a shower room and a bathroom on the ground floor and 2 bathrooms on the first floor. Assisted bathing facilities are available in 2 bathrooms. There is a private enclosed garden with seating. Parking is available at the rear of the home. The home is situated in the Vauxhall district of Liverpool, close to local amenities, road and bus routes. At the time of this inspection, the weekly fees for the home ranged from £307.55 to £451.00. Additional charges are made for hairdressing and chiropody. A service user guide and a statement of purpose, which describe the services offered at Crompton Court is made available to new residents, their relatives and professionals before a resident comes to live at the home. A copy of the most recent inspection report can be obtained from the manager. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6 hours and is based on a visit to the home. The inspection process has also considered information received about the service since the last inspection and by questionnaires completed by the residents, their relatives and health and social care professionals who visit the home. During the site visit to the home time was spent in the office looking at a sample of records and policies and procedures and talking to the deputy manager. A tour of the home was undertaken. Time was also spent talking with residents and staffs to seek their impressions of the service and observations were made of the care given by staff. What the service does well: Residents have their needs appropriately assessed before moving to the home, which ensures that a service is only offered to people whose needs can be met. Residents benefit from being able to make trial visits. This assists residents to make a decision about whether the home is right for them. Residents have their health and care needs well met. Staff are aware of the needs of residents and how to meet them. Relatives and health professionals reported that staff are caring and have a good understanding of the care needs of residents. Observations and discussions with residents indicated they consider they are treated with respect. Residents spoken with and those who returned questionnaires made positive comments about the care they receive. The comments include “we are well looked after,” “staff are lovely and very helpful,” “ I have never been better than I have been in the last 8 years, people visit and say how well I look.” The wellbeing of residents is promoted by the flexibility of the daily routines, visitors being made welcome to the home and the provision of well balanced, appealing meals. A good range of activities are available for residents to take part in should they so wish. The home has a complaints system which residents know how to access. The procedures at the home and training provided to staff around adult protection safeguard residents. The home is clean and well presented and provides a comfortable and pleasant atmosphere. A number of staff have worked at the home for several years and know the needs of the residents well. This promotes continuity of care. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 6 The management arrangements support the wellbeing of residents. The home has good systems for monitoring the quality of the service it offers to residents. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 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 Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are fully assessed before they are admitted to the home in order to ensure their needs can be met. The wellbeing of residents is well supported by the contracts they have with the home. EVIDENCE: A sample of residents’ files were seen and contained a contract between the home and the resident. Each resident is provided with a contract after a period of settling in, usually within 4 weeks of admission. The contract covers the care home’s charges to residents, including any extra amounts payable for additional services, the rights of the resident, services provided and terms and conditions of residence. Questionnaires were returned by 9 residents. 8 out of 9 residents said they have a contract with the home. The manager reported that all residents have a contract. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 9 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 manager or deputy undertake the initial assessment of prospective residents using an assessment tool that provides the basis for ongoing care planning. Before residents decide to move to the home they are invited to make visits to see if the home is right for them. A new resident spoken with said they had made a couple of visits. During these visits they can meet staff and current residents and view the home. 9 of the residents who returned questionnaires said that they were given enough information about the home before they moved in so they could decide if it was the right place for them. A review of the placement takes place with the resident, relatives and any relevant professionals after a six-week trial period. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are supported by the care planning processes in place at the home. The home’s policies and procedures for managing medicines safeguard residents. Residents are treated with respect. EVIDENCE: A sample of residents records were looked at. Assessments are undertaken in relation to, physical and social wellbeing, pressure sores, manual handling, dependency, nutritional needs, continence and falls. Assessments of the specific residents needs are also undertaken. 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 monthly by the manager or the deputy manager and that a 6 monthly review is held with the resident, their relatives and any relevant professionals. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 11 Care staff interviewed were aware of the residents needs and reported that they have ongoing access to the residents care plans. Care staff said 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. Residents spoken with and those who returned questionnaires made positive comments about the care they receive. The comments include “we are well looked after,” “staff are lovely and very helpful,” “ I have never been better than I have been in the last 8 years, people visit and say how well I look.” Relatives also commented very positively on the care provided. Risk assessments in relation to falls were examined. Some assessments instruct staff to make sure a safe environment is provided but gives no guidance as to how staff are to do this. The staff spoken with were aware of the action to be taken. All matters that may contribute to falls such as medication and nutrition are not looked at specifically under the falls risk assessment. This needs to be addressed so as to provide detailed information on falls prevention. The records at the home indicated that referrals are made to health professionals in accordance with the needs of residents. A record is made of visits by health professionals and the outcome is documented. Residents spoken with and residents who returned questionnaires said that their health needs are well met. The records of accidents were well maintained and showed that appropriate action is taken following an accident. The accident records are checked on a monthly basis by the manager and the service manager. There was evidence that residents have access to any aids and adaptations they may need such as walking aids, visual and hearing aids. Care needs to be taken to ensure that information about any help residents may need with hearing and visual aids is recorded in all care plans where this is relevant so that staff have access to any guidance needed. 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. 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. A questionnaire returned by a GP and a social worker showed that staff have a good understanding of the care needs of residents, medication is appropriately managed and that they are satisfied with the overall quality of care provided at the home. A GP and relatives commented on the home being a caring home with a “nice atmosphere.” Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 12 Staff are provided with training on how to meet a residents needs in a dignified manner and how to respect their privacy. The staff were observed to address residents in a respectful and polite manner. The residents spoken with said staff are “polite” and that they knock on their bedroom door before entering. Crompton Court Residential Care Home DS0000025337.V328673.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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. The social and emotional needs of residents are well met through flexible daily routines and the activities available. The home has very good links with the local community with visitors being made welcome. Residents receive varied, well-balanced meals in pleasant surroundings. EVIDENCE: Residents spoken with said that they make decisions about their day-to-day lives at the home, such as when they will get up and go to bed, whether to socialise or occupy themselves in their own rooms and what they will do each day. Each of the residents’ bedrooms seen had been personalised with items brought in from their own homes. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 14 A good range of activities are provided. An activity co-ordinator works 14 hours per week organising activities within the home such as bingo, entertainers, videos, quizzes, flower arranging and organises trips out and education programmes. Residents are kept informed about the activities available by care staff and through written information in the reception area. Records indicate the interests of residents, which inform the activities offered. Residents spoken with and those who returned questionnaires made positive comments about the activities available. The effort and commitment put into the range of activities provided is to be commended. Visitors are welcome at the home at reasonable times and can be seen by resident in private. During the visit a number of residents were seen at the home and residents spoken with said that visitors are made very 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, residents attend matches and take part in reminiscence talks and visits to the club. Some residents are doing a computer skills course with Learn Direct. The dining area offers a pleasant environment for residents to have their meals. Menus are displayed in the reception and are on the dining room tables. Breakfasts are provided following consultation with each resident and are served in the dining room or in residents’ bedrooms. A choice of meals is provided. The records of menus indicated that a variety of meals that would provide a balanced diet are available. Any special dietary needs are written in to a residents care plan. When asked about the food provided, residents spoken with described the food as “good” and said that a variety of meals are provided. 7 residents who returned questionnaires said the food is always good. 2 residents said it is either usually or sometimes good. This was brought to the attention of the manager. The deputy manager and residents spoken with said that they are offered an alternative if they do not like the meals offered. Crompton Court Residential Care Home DS0000025337.V328673.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. Good procedures and knowledgeable staff who know how to manage complaints and adult protection matters help to safeguard residents. Residents are listened to and know how to make a complaint. EVIDENCE: The home has a 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 manager or deputy manager. Residents and relatives who returned questionnaires knew how to make a complaint. No complaints have been made to the home or to 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 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. The induction for staff covers the home’s adult protection procedure. A copy of Liverpool City Council’s adult protection procedure is available at the home. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 16 The majority of staff have attended adult protection training and arrangements have been made for any staff who have not to attend this training within the next 3 months. Two members of staff were interviewed and were very well aware of the procedure to follow should they suspect abuse. Crompton Court Residential Care Home DS0000025337.V328673.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): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. Improvements need to be made to the safety practices around the use of bedrails. EVIDENCE: Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 18 The home is purpose built to meet the needs of the residents. A tour of the home showed that in general the home is well maintained and decorated to a high standard. Some attention continues to be needed to the floor tiles in the laundry, kitchen and conservatory, as some are cracked. The carpet in the reception area is showing signs of wear and tear. The deputy manager reported that this area has been measured for new carpet, which is being provided soon. There is some minor damage to the bath panel in the first floor bathroom. It is recommended that this be replaced. The designated smoke area for residents is ventilated by opening the windows. On the day of the visit the residents had closed the windows as it was cold and the room was very smoky which may discourage non-smokers from accessing this lounge. Additional ventilation should be considered. Samples of resident’s bedrooms were seen and were very well maintained. All bedrooms have an en-suite toilet and sink. The residents spoken with were happy with the size and content of their bedrooms and said they are kept clean by the staff. The bedrooms were personalised. A lock is provided to the resident’s bedroom door where this is assessed as appropriate. A lockable area is available in each resident’s bedroom. At the last inspection it was reported that the bathroom with the “parker” bath on the first floor does not get used due to the restrictions of using a wheelchair and hoist in a confined area. It was recommended that consideration be given to replacing this parker bath with a type of facility that fully meets residents’ needs. At this inspection, a hoist has been fitted in the first floor bathroom. Staff reported that this bathroom does not tend to get used. The type of bathing aid chosen may be the reason for this as this aid is more suited to very dependent residents. No issues were raised around the number of bathing facilities provided and residents spoken with said they choose when they have a bath. The home employs sufficient domestic staff and on the day of this inspection the premises were found to be very clean and malodour free. 8 of the residents who returned questionnaires said that the home is always kept clean. 1 resident said that the home is usually kept clean. The residents comments included “the girls do an excellent job” and “everywhere is always clean and well maintained.” Relatives commented on the cleanliness of the home in the questionnaires returned. Bed rails are used at the home following agreement with the resident and their relatives. The GP is also consulted for advice around this. Bedrails are provided by appropriately trained health professionals. A risk assessment and guidance for staff around the safe use of bedrails is available. These risk assessments are regularly reviewed and a new procedure has been introduced to ensure a weekly check is made on the safety of bed rails. However the assessment does not consider any changes to the physical and emotional wellbeing of the resident when assessing the appropriateness of continuing to Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 19 use bedrails. A record is not made to indicate that staff have been trained in the use of bedrails by a person who is competent to provide this. This needs to be addressed in order to ensure and demonstrate that the safety of residents is at all times being safeguarded. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 20 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. There are sufficient numbers of staff to meet the needs of residents. Residents benefit from staff receiving induction training that meets the Skills for Care workforce training targets and from over 50 of staff having an appropriate qualification in care of older people. The home’s recruitment practices safeguard residents. EVIDENCE: The rota and a discussion with the staff and the 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 visit. There is a clear staff structure in the home that includes the manager, deputy manager, senior care staff, care staff and ancillary staff. Staff spoken with were aware of their responsibilities at the home and the responsibilities of the senior staff and manager. The 9 residents who returned questionnaires and residents spoken with said that staff are always available when they are needed. Of the 16 care staff employed 7 staff have achieved NVQ level 2 and 1 member of staff has achieved an NVQ Level 3. A further 4 members of staff are undertaking the NVQ 2 and a further 2 staff are undertaking the NVQ 3. The Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 21 organisation and the managers at the home are committed to staff undertaking NVQ training and encourage staff to undertake this training. Three new members of staff have been employed since the last inspection. The records of recruitment in respect of these staff were examined and contained all the required information. The home has an equal opportunities monitoring policy in operation. The deputy manager reported that staff undertake an induction programme that meets the Skills for Care workforce training targets. Records of this induction were seen and covered information essential to prepare a member of staff to work at the home. The induction covers health and safety matters, protection of older people from abuse, good care practice and the general operation of the home. The staff training records showed that some staff have not received training around dementia. Although no residents are diagnosed with dementia, during the visit it was observed that some residents were displaying behaviour that is characteristic of dementia. Staff who have not received training around this should receive this. Following the visit the manager reported that she would arrange this training for staff in the near future and in the meantime has provided further guidance for staff in the care plans. The 4 relatives who returned questionnaires said that the care staff have the right skills and experience to look after people properly. Some comments included “the staff are always there” for residents, the staff are very “attentive,” staff understand the needs of residents and the staff “can’t be faulted.” Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 22 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): 31, 32, 33, 35, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements at the home support the wellbeing of residents. The quality of the service is well monitored. The safety of residents is well promoted. EVIDENCE: The manager has been managing the home since January 2005. The manager was formerly the deputy manager for the home and prior to this worked at the home in a senior capacity. The manager has an NVQ 2 and 3 in care of the elderly and has nearly completed the NVQ 4 in care and management. Records show that the manager has undertaken training to keep her skills and knowledge up to date. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 23 The home holds personal allowances on behalf of some residents. The records of this were seen and were accurately maintained. There was evidence of auditing by a senior manager from Southern Cross and the home’s manager in respect of money held on behalf of residents. The home’s administrator was spoken with and was very aware of the processes to be followed in order to safeguard resident’s finances. There are a number of quality assurance processes in place at the home, which ensure the home is run in the best interests of the residents. Residents meetings are held. Questionnaires are sent to residents and their relatives each year to find out their views on the operation of the service. The manager has introduced a weekly “surgery” where residents and relatives can discuss any issues about the operation of the home. Staff meetings are held. The regional manager undertakes monthly regulation 26 visits which includes discussions with the staff and residents. The records and the home environment are regularly inspected by the manager and senior managers. Staff reported that the manager gives them a clear sense of direction and asks them their views on the operation of the home. Relatives who returned questionnaires commented that the manager “is always on hand” and that they “cannot praise the manager highly enough” for the service being delivered. The manager ensures that CSCI and any other regulatory bodies are informed of any relevant issues affecting the home. The manager ensures that any requirements identified by CSCI are attended to without delay. The policies and procedures held at the home are accessible to staff and staff interviewed knew where to find them. There was evidence that policies and procedures are updated in accordance with legislative changes and good practice guidance. Records are kept in locked cabinets in rooms that are kept locked when not in use. The records of the safety checks of the fire alarm and emergency lighting were in order. Fire drills are held on a regular basis. Safety checks of portable appliances, the passenger lift and hoists were up to date. A gas safety certificate was available. Some remedial works were suggested by the engineer, which, are being followed up by the manager. Evidence that the electrical wiring at the home is safe was available at this inspection. Training records showed that staff are given appropriate training in safe working practices, including fire safety training. Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 24 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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 X 3 3 Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP7 Regulation 15 Requirement The registered persons must ensure that risk assessments in relation to falls are comprehensive in order to provide clear guidance to staff around what they need to do to prevent a fall. The registered persons must ensure that a record is made to indicate that staff have been trained in the use of bedrails by a person who is competent to provide this. The risk assessments must ensure that any changes to a residents’ physical and emotional wellbeing are considered when assessing the appropriateness to continue to use bedrails. Timescale for action 12/03/07 2. OP19 13 12/03/07 Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 26 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. 3. Refer to Standard OP19 OP19 OP19 Good Practice Recommendations It is recommended that the bath panel to the first floor bath be replaced. It is recommended that additional ventilation be provided in the designated smoking area. It is recommended that attention be given to the floor tiles in the laundry, kitchen and conservatory as some are cracked. It is recommended that all staff receive training on meeting the needs of older people who have dementia. The manager is to obtain an NVQ Level 4 in care and management or equivalent. The remedial actions indicated on the gas safety inspection certificate are to be considered. 4. 5. 6. OP30 OP31 OP38 Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Crompton Court Residential Care Home DS0000025337.V328673.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!