Inspection on 02/03/06 for Crompton Court Residential Care Home

This inspection was carried out on 2nd March 2006.

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... 12/03/07

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 Unannounced Inspection 2nd March 2006 13:00 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.V284955.R01.S.doc Version 5.1 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.V284955.R01.S.doc Version 5.1 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) 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.V284955.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 2005 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-two 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 a bathroom on the first floor. Assisted bathing facilities are available in one bathroom. 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. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over half a day. During the inspection time was spent in the office examining records and policies and procedures and talking to the 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: Written information around Liverpool City Council’s procedure to be followed when reporting an incident of abuse needs to be made available for staff to refer to. Evidence that an up to date test has been carried out on the electrical wiring need to be available to CSCI in order to demonstrate that the home is safe. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 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 Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 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.V284955.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 New residents 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. Extra charges are made for hairdressing, newspapers and chiropody. The statement of purpose and service user guide contains information around these additional services. Southern Cross is in the process of revising the contracts. The new contracts indicate where charges are made for additional services. Each resident has a copy of the service user guide. 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. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 9 Inspection of records and discussions with residents and the manager confirmed that residents are able to visit the home prior to them being admitted. 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.V284955.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10 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. Residents are treated with respect. EVIDENCE: 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 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. 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 were asked about the Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 11 care they receive. The comments were positive and include “I am well looked after,” “staff are very kind,” “ staff are helpful.” 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 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. 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 number of staff are attending a safe handling in medication training course in March 2006. Staff are provided with training on how to meet a service users needs in a dignified manner and how to respect their privacy. The staff were observed to address service users in a respectful and polite manner. The service users spoken with said staff are “friendly” and “polite.” Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15 The daily routines at the home and activities on offer ensure that the preferences of residents are respected and promoted. Maintaining community links and encouraging visitors promotes the social and emotional needs of residents. Residents receive varied, well-balanced meals in pleasant surroundings. EVIDENCE: Discussions with residents indicated that daily life at the home meets their preferences. Residents and staff said that the home encourages residents to make decisions about their day-to-day lives at the home, such as when they will get up and go to bed 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.V284955.R01.S.doc Version 5.1 Page 13 A good range of activities are provided. An activity co-ordinator works 14 hours per week organising and facilitating activities within the home, trips out and education programmes. Residents are kept informed about the activities available by care staff and through written information held in the reception area. Records indicate the interests of residents, which inform the activities offered. A record is made of any activities a resident takes part in. Some residents were enjoying a game of bingo on the day of the inspection, some were watching a video and others were reading newspapers. Residents spoken with spoke positively about the activities that are available and said that they choose whether to take part. 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 there are adequate facilities for residents to receive visitors in private. During the inspection a number of residents were receiving visitors and discussion with residents indicated that the home actively encourages and facilitates visiting. 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. Observations of the dining area indicated that a pleasant environment is provided for service users to have their meals. Menus are displayed in the reception. Breakfasts are provided following consultation with each service user and are served in the dining room or in residents’ bedrooms. A choice of meals are 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 service users 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. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 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 the following standard(s): 16, 17 and 18 The home has a satisfactory complaints system with evidence that the views of residents and their representatives are listened to and acted upon. There are systems in place to protect service users from abuse. Further written information is needed around the adult protection referral process. 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 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 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. There is a corporate adult protection policy and procedure available. This refers to the procedure for the Local Authority being followed when reporting an incident of abuse. Liverpool City Council’s adult protection procedure was not available at the home at the time of the inspection. This needs to be made available for staff to refer to. An experienced member of staff was spoken with and was aware of what to do in the event of a concern about abuse. A new member of staff was unclear about the action to be taken. The manager Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 15 reported that training in the adult protection procedures is being arranged for the staff who have not received it. The records seen confirmed this. A whistle blowing policy and procedure is available. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 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. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 17 EVIDENCE: 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 is needed to the floor tiles in the laundry, kitchen and conservatory, as some are cracked. The pipes in the shower room need to be boxed in following recent repair work being carried out in this room. The manager reported that this is being attended to within the next week. 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, plans are in place to fit a hoist in the other first floor bathroom that will allow for increased access. This will mean that residents have access to 2 assisted baths. At present residents have access to one assisted bath and a shower on the ground floor and a bathroom on the first floor. The home employs sufficient domestic staff and on the day of this inspection the premises were found to be very clean and malodour free. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 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 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 eighteen care staff employed ten staff have achieved NVQ level 2 and two staff have achieved an NVQ Level 3. A further member of staff is undertaking the NVQ 2 and a further 2 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. One new member of staff has been employed since the last inspection. The records of recruitment in respect of this member of staff were examined and contained all the required information. Since the last inspection, an induction programme has been introduced that meets the National Training Organisation specification. This has not yet been provided to any new staff and the progress in using this new induction tool will be looked at further at the next inspection. The induction that is currently Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 19 provided to staff covers all policies and procedures, care practices and the operation of the home and had been completed with the member of staff whose records were seen. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 The management arrangements support the needs and best interests of residents. In general, the health and safety of residents is 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 recently begun the NVQ 4 in care and management. Records show that the manager has undertaken training to keep her skills and knowledge up to date. The home holds personal allowances on behalf of some service users. The records of this were seen and were accurately maintained. Residents, relatives and a staff member sign, as appropriate, when money is deposited or withdrawn. Two members of staff sign when a resident or relative is unable to Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 21 sign this record. 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. 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 every two months. A questionnaire has recently been sent to all residents and the manager is in the process of identifying any matters that need a response. 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 service users. The records and the home environment are regularly inspected by the manager and senior managers. 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. 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. Training records showed that staff are given appropriate training in safe working practices, including fire safety training. The gas safety certificate had expired on 21 January 2006. Arrangements were made during the inspection for a gas safety inspection to be carried out. Following the inspection a copy of this certificate was forwarded to CSCI, which indicated that the gas installation is sound. Some recommendations were made by the engineer which are being followed up by the manager. A complete electrical wiring certificate was not available. A copy of this certificate is to be forwarded to CSCI. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 22 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 3 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 3 18 2 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 3 2 Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 23 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 OP18 Regulation 13 Requirement The registered person must ensure that written information around Liverpool City Council’s procedure to be followed when reporting an incident of abuse is made available for staff to refer to. The registered person must ensure that a complete copy of the electrical wiring certificate is forwarded to CSCI. Timescale for action 02/04/06 2 OP38 23 02/04/06 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 OP31 Good Practice Recommendations It is recommended that a further assisted bath be made available. It is recommended that attention be given to the floor tiles in the laundry, kitchen and conservatory as some are cracked. The manager is to obtain an NVQ Level 4 in care and management or equivalent. DS0000025337.V284955.R01.S.doc Version 5.1 Page 24 Crompton Court Residential Care Home 4 OP38 The remedial actions indicated on the gas safety inspection certificate are to be considered. Crompton Court Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Liverpool Local Office 3rd Floor Campbell Square 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 Residential Care Home DS0000025337.V284955.R01.S.doc Version 5.1 Page 26 - 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!