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Inspection on 20/01/06 for Crosshill Nursing Home

Also see our care home review for Crosshill Nursing Home for more information

This inspection was carried out on 20th January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a good level of care. Residents said they enjoyed living in the home and that they found staff to be helpful and kind. Relatives spoken to said that when they visit a `family atmosphere` is apparent and that staff know the service users well. The home was clean and tidy with no unpleasant odours and had a homely atmosphere.

What has improved since the last inspection?

The communal and dining room areas have been decorated and were found to be bright and cheerful. Service users confirmed that they had been involved with regard to the colour scheme. The requirement from the last inspection with regard to fire training has been addressed.

What the care home could do better:

Records of the food provided for service users must be kept in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. The programme of redecoration should continue throughout the home.

CARE HOMES FOR OLDER PEOPLE Crosshill Nursing Home 2A Paragon Street Stanhope Durham DL13 2NN Lead Inspector Mrs Sue Lowther Unannounced Inspection 20th January 2006 09:30 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 Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 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. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Crosshill Nursing Home Address 2A Paragon Street Stanhope Durham DL13 2NN 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) 0191 4881057 Rayson Homes Limited Julie Percival Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (25) of places Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: Crosshill Care Home situated in the historical town of Stanhope. The home provides 24hr personal care with nursing for up to 25 service users over the age of 65 years. The home is a single storey building, which is easily accessible to all service users and the corridors are wide enough to accommodate wheelchair users. There 13 single and 6 double rooms, all of which are en suite. There is one large combined dining room and sitting room and 1 small quiet room. The staff team comprises of trained nurses, care staff and ancillary staff. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 5 hours on the 20th February 2006. The plan for the inspection was to check whether the home had implemented the requirements made at the previous inspection; to talk with the residents about living in the home; to meet with care staff; and to look at records. What the service does well: 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. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 6 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 Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 7 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): 1 Appropriate information about the home is available to enable prospective service users to make informed choices about living at Crosshill Care Home. The home does not provide intermediate care and therefore assessment of Standard 6 is not required. EVIDENCE: A range of information available within the home’s Statement of Purpose and Service User Guide, which have recently been updated, provides prospective service users with details about the home. This enables people to make a choice about whether they wish to live at Crosshill there. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 8 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): None of these outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. EVIDENCE: N/A Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 9 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 & 15 Service users are offered the opportunity to participate in a range of social activities and are able to spend their day as they wish. Residents are offered well-presented meals and the dining area is pleasant. EVIDENCE: There was good practice relating to the promotion of independence and social contact with people outside the home. Service users said that they are able to see their relatives and friends at any time and that staff sometimes help them to go out to see their friends. Staff organise activities at the home and there was a varied range offered. Service users were able choose whether or not they wish to be involved. Without exception, service users said that the food was good and that there is a choice available. Service users nutritional needs are considered and recorded in care plans. Specialist diets are provided where necessary. However, it was noted that records of menu choices and food served have not been kept. Kitchen staff should be reminded that records of the food provided for service users must be kept in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 10 The dining area was pleasantly furnished and provides a spacious setting for service users. The tables were set with appropriate cutlery, condiments and choice of drink. A number of service users said that they could choose to have their meals in their own bedroom and that if they wish to do so, staff would make the necessary arrangements for this. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. EVIDENCE: N/A Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 & 23 There are sufficient bathrooms and toilets throughout the home. Service user bedrooms reflect the personal taste of the occupants. EVIDENCE: There are sufficient bathroom and toilets located throughout the home, which are fitted with mobility aids. The inspector saw that service users rooms are tastefully decorated and that service users are able bring into the home small items of furniture along with photographs to make their own room more pleasant and homely. The communal areas and bedrooms were cleaned to a good standard. The lounge and corridors had been recently decorated and were found to be bright and cheerful. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 30 Staff receive appropriate training in relation to the care needs of service users living in the home. EVIDENCE: All staff have now received fire training as required in the last inspection report. An ongoing training and development programme is in place to include all statutory training requirements and other training in clinical subjects associated with the care of the client group catered for. Individual training needs are identified through supervision and appraisal systems and induction training is provided for all staff. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 32, 33, 35 & 38 The manager provides good leadership and direction for the staff. This ensures that service users rights and wellbeing is safeguarded and protected. EVIDENCE: The manager is a qualified nurse and has completed an appropriate management course. The staff who were spoken with indicated that the manager runs the home for the benefit of the service and has a positive relationship with staff. Similar comments were also made by a number of service users. Service users’ views are obtained through regular contact and an ‘open door policy’. Service users have individual bank accounts. Small amounts of personal allowances are kept. These were examined and found to be in order. A member of staff and the service user sign for monies withdrawn from the Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 15 personal allowances. If the service user is unable to do so then two members of staff will sign. There are detailed health and safety policies and copies of these were available for inspection. Staff spoken with confirmed that they have received health and safety training with regard to moving and handling and fire safety. Servicing records were examined and there was evidence of regular servicing of fire equipment and gas and electrical appliances being carried out by contracted companies. All of the servicing records that were examined were up to date. Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X 3 X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 17 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 OP15 Regulation Requirement Timescale for action 30/04/06 17(2) & Records of the food provided for Sche4(11) service users must be kept in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Crosshill Nursing Home DS0000060995.V268092.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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