Inspection on 19/07/05 for Crossley House

This inspection was carried out on 19th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Crossley House 22/08/06

Crossley House 18/01/06

Crossley House 08/02/05

Crossley House 07/07/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

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

CARE HOMES FOR OLDER PEOPLE Crossley House 109 High Street Winterbourne South Gloucestershire BS36 1RF Lead Inspector Helen Taylor Unannounced 19 July 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Crossley House Address 109 High Street, Winterbourne, South Gloucestershire BS36 1RF 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) 01454 777 363 mail@aablecare-homes.co.uk Ablecare Homes Mrs Jacqui Woodman Care Home for older people 17 Category(ies) of OP Old Age (17), DE(E) Dementia over 65 (5), registration, with number LD(E) Learning Disability over 65 (1) of places Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 17 persons aged 65 years and over requiring personal care only; may accommodate up to 5 persons with dementia; may accommodate one person with learning difficulties Date of last inspection 8/2/05 Unannounced Brief Description of the Service: Crossley House is registered with the Commission for Social Care Inspection to provide personal care for 17 persons aged 65 years and over. Within this registration the home may care for 5 persons who have a dementia, and one person who has a learning disability. Crossley House is situated on Winterbourne, a village on the outskirts of Bristol. The accommodation is arranged over three floors in an elegandt georgian listed building surrounded by well-kept gardens.The home is close to local amenities with bus routes to nearby Yate. Ablecare Homes Ltd. own and operate the home as part of a group of homes owned by the company in the Bristol area. The registered manager is Mrs Jaqui Woodman. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process to examine the care provided, and monitor progress in relation to any requirements and recommendations from the last inspection conducted in February 2005. There was one requirement from the previous inspection. The inspection took place over six hours. During the process seven residents, three staff, the manager and director, and a visitor to the home were spoken with. The Inspector looked around some of the building and a number of records were examined. Mrs Jacqui Woodman, who has recently successfully completed the registered manager process, and Mrs Sam Hawker, a Director of Ablecare Homes, coordinated the inspection process. The Inspector would like to thank the residents for their warm welcome. What the service does well: What has improved since the last inspection? The home has worked diligently to ensure that all staff attend fire drills at the appropriate intervals. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 6 The recently appointed manager has promoted a greater level of choice for residents in daily life at the home, with active encouragement to make their views known. 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. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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 Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 1,3,4,5. Information is available to prospective residents and their representatives about the home and the admission process, which enables an informed choice to be made before moving in. EVIDENCE: There are currently no vacancies at the home. The home have a comprehensive statement of purpose and resident guide detailing the facilities and services provided. The information is written in plain English, and copies of the documents are on display in the home. One relative spoken with confirmed a copy was provided when an enquiry about a placement was made. The Inspector did not view any contracts during this visit but has previously reviewed this information to ensure it complies with the National Minimum Standards. Residents benefit from comprehensive care management and health needs assessments seen on file. The admission process encourages trial visits to the home as part of the assessment process. The manager would visit prospective Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 9 residents in their own home or hospital to assess whether or not their needs could be met. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 7,8,10, Clear information is held demonstrating each residents assessed and individual needs are identified. The manager makes strenuous efforts to involve residents in this process promoting choice in their daily routines. EVIDENCE: A review of the care file information provided evidence that each resident has a comprehensive care plan. The manager explained a systematic review of each care file was presently taking place to ensure changing needs were identified. The Inspector found evidence of this process and two residents spoken with confirmed an improvement in communication generally within the home. Daily routines had been altered to promote personal choice, and those residents spoken with conveyed to the Inspector they felt a greater sense of belonging within the home. The home has in place comprehensive risk assessments developed to ensure minimal impact on the residents expressed choices. One visitor spoken with confirmed the staff members were always respectful, and knocked on the door before entering. The visitor confirmed the staff team Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 11 were approachable and he/she would feel able to discuss any concerns or issues that might arise, and be confident these would be resolved. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 12,13,14,15. Those living at the home are encouraged to participate in a varied range of activities with individual choices and rights being paramount. EVIDENCE: As discussed earlier in this report family members are encouraged to attend events organised by the home. Those residents spoken with explained a recent garden party was well attended by relatives. Other activities enjoyed by the residents included: • Visiting musicians • Quizzes • Walks in the garden • Organised trips to places of interest A hairdresser was present during the inspection and this caused much excitement in the resident group. Lunch with the residents was a very pleasant experience, and the food served was nutrious, well presented and tasty. Central serving dishes encourage independence for those who are able. The dining room is located in the conservatory, and although the weather was very warm, the humidity of the dining room was pleasant. The atmosphere during lunch was relaxed and unhurried. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 13 The Inspector had the opportunity to speak with the cook, who demonstrated a good understanding of the residents needs. The Inspector noted the meal prepared on the day had been a suggestion put forward at a residents meeting held in March. Residents spoken with confirmed they felt able to make their views known. A review of the records held in relation to the preparation and storage of foodstuffs was up to date and in order. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 16,18. The complaints process in the home is good and there was evidence that the residents views are listened to and acted upon. The risk of residents suffering any form of abuse or neglect is appropriately minimised. EVIDENCE: A detailed complaints procedure is in place and was displayed in the entrance hallway. Copies of the statement of purpose and resident guide, both of which contain the complaints procedure were seen in the lounges. A visitor spoken with confirmed knowledge of the complaints procedure, and felt able to approach staff members with any concerns. Those residents spoken with conveyed to the Inspector they felt able to make their views known, and felt action would be taken to resolve any issues that may arise. Policies and procedures are in place to ensure residents are protected from any form of abuse. Staff members spoken with confirmed attendance on abuse awareness training, and were able to demonstrate verbally to the Inspector their understanding of the content of the training. The director was able to provide evidence that all staff were booked to attend abuse training provided by the local social services department. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 19,20,22,23,24,25,26. The quality of the furniture and fittings in the home is of a very high standard, and overall a warm comfortable environment has been created, with arrangements in place to ensure all areas of the home are well maintained. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The home is a listed Georgian building, set in its own grounds, which are well kept and accessible to the residents. The Inspector toured the home and had the opportunity to speak with residents in the privacy of their own rooms. The residents made the following comments: very comfortable good atmosphere extremely happy staff members are respectful and approachable healthcare excellent Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 16 Individual rooms had been personalised, and some residents had been provided with tea making facilities, whilst other residents had purchased their own small fridges for use in their rooms. One resident explained a new bed had been provided recently. The individual rooms were furnished to a good standard and the home was clean and tidy. Three issues were noted during the environmental tour: • One of the smaller rooms was very hot due to the weather conditions and this could be improved if the resident was able to keep the door open. The inspector recommended the installation of an automatic door closer following consultation with the fire officer. • One room had a slightly stained carpet and flooring in the en-suite that was becoming uneven due to wear and tear. The Inspector recommended a review of the flooring in this room. The issues noted above should not detract from the high standard of provision at Crossley House where a continual review of the maintenance of the fabric of the building ensures a safe and comfortable place for the residents accommodated. Regular reports from the director who undertakes monthly monitoring visits as required by Regulation 26 of the Care Standards Act 2000 provide evidence of comprehensive reviews of all aspects of care provision at Crossley House. The summary actions include reference to maintenance and repairs completed on a regular basis. There were no odours on the day of inspection. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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) 27,28,29,30. Robust recruitment practices, and appropriately trained staff are in place to support, safeguard and protect residents from any form of abuse. EVIDENCE: The organisation operates a robust recruitment procedure ensuring all appropriate employment information is obtained prior to the start date. A review of this information confirmed appropriate checks are undertaken. A comprehensive induction programme is in place for new staff incorporating progression to the NVQ training programme. The Inspector found evidence of Personal Development Plans, supervision and achievement certificates for training attended. The Director explained in addition to the NVQ training programme the annual training plan includes the following: • • • • Dementia Awareness planned for June, July Sept 05. Protection of Vulnerable Adults in May and June 05. Legal and Ethical Issues in Dementia in October 05. Anger and Dementia in June and Nov 05. Staff members spoken with confirmed their awareness of the Whistleblowing procedure, and confirmed a high level of support from the manager. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 18 Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 19 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) 31,32,36,37. The home is well-managed ensuring residents interests and choices are promoted by a supported and experienced staff team within a safe environment. EVIDENCE: Mrs Jacqui Woodman the manager of the home has recently successfully completed the registered manager process. The manager has also completed the NVQ level 4 and Registered Manager Award. Throughout the inspection process the manager was able to demonstrate that she is competent and experienced to manage the home and meet its stated purpose. The atmosphere in the home during the inspection process was calm and relaxed, and those residents spoken with conveyed to the inspector they felt at home. Positive comments were made to the Inspector by residents and staff that the manager was approachable and listens to suggestions. Regular Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 20 residents meetings were held and it was noted suggestions were put into practice. The following records were reviewed: • Care plans and associated documentation • Staffing information • Supervision records • Fire safety • Records held in relation to food preparation All records reviewed were up to date and in order. A requirement from the previous inspection that staff receive fire drills at stipulated intervals had been complied with. All staff receive an appraisal form the manager where monitoring of practice, service delivery, and individual training needs are identified. The manager was able to provide evidence that regular supervision had taken place. Comprehensive notes were completed during this process. Policies and procedures are in place, which provide guidance for staff in relation to their role within the home. There was evidence of discussion about policies and procedures during the supervision sessions. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 21 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 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 3 x Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP24 Good Practice Recommendations To install automatic door closers where necessary, and review flooring as discussed during the inspection. Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.doc Version 1.40 Page 23 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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 Crossley House D56_D05_S03318_CrossleyHouse_V238684_190705_Stage 2.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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