Inspection on 30/08/05 for Crossways Care Home

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Crossways Care Home 22/04/09

Crossways Care Home 10/04/07

Crossways Care Home 06/01/06

Crossways Care Home 14/09/04

Crossways Care Home 26/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Crossways Care Home 2, Sunte Avenue Lindfield Haywards Heath, West Sussex RH16 2AA Lead Inspector Mrs K Allen Announced Tuesday 30 August 2005. V241127 th 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. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Crossways Address 2, Sunte Avenue, Lindfield, Haywards Heath, West Sussex, RH16 2AA 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) 01444 416841 01444 453830 Mr I Mannick Mrs D Mannick Care Home (CRH) 25 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 25 of places Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th September 2004 Brief Description of the Service: Crossways is a care home providing personal care and accommodation for up to tweny-five people aged sixty-five and over. It is a large dtached property in the village of Lindfield near Haywards Heath, West Sussex and close to the town centre and railway station. The accommodation is on two floors with nineteen single and three double bedrooms. Eighteen rooms have en-suite facilities. There is a large lounge and a lounge/dining room on the ground floor and a small lounge on the first floor for residents to meet with visitors in private. All floors are accessible via a passenger lift. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager completed a pre-inspection questionnaire and Comment Cards were provided via the home to residents, relatives and visitors. However, none were completed and returned to the inspector on this occasion. The inspection took place from 9.30am over seven hours during which all of the residents were spoken to either privately in their room, in the lounge or the garden. A discussion was held with the manager and her deputy and interview conducted with three care staff. In addition a number of records were seen. Residents said the home is “very friendly”, staff were “always available” and that they were “thoughtful”. What the service does well: What has improved since the last inspection? What they could do better: Staff should record each time they administer any medication. The bolt on the front door should be removed. An NVQ training programme should be introduced. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 & 6 No resident moves into the home without an assessment, so that they know the home will be able to meet their needs. Intermediate care is not provided at the home. EVIDENCE: All of the residents had a written assessment of their needs giving all of the recommended information such as personal safety and risks, family contacts as well as health needs. Residents said that they were well looked after and one person stated she needed two carers to help her at times and this was always provided without delay. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 9 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, 9 & 10 Each resident has a care plan and their health needs are met. Medication is administered safely although staff should sign each time they give a resident their medication. Residents feel they are treated with respect and their privacy is upheld. EVIDENCE: Each resident has a written plan of their care which gives details of the action needed to ensure that all aspects of their health, personal and social care are met. A number of people were considered to be at “high risk of pressure areas” and this was recorded. In discussion, staff were very clear about how to manage this risk although there were no notes to show what action was actually taken. All residents were well presented and with one exception, active around the home. They are registered with local GP’s and community nurses are engaged as required. Details of visits by health professionals are recorded. Medication is looked after for the majority of residents. It is stored safely and administered appropriately. There is a pharmacy agreement in place so that regular supplies are received and advice is available if necessary. The recording of medication is generally satisfactory and there is no evidence of Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 10 residents not receiving their medication. However staff did not always sign when they had given a resident their medication. Residents were keen to stress how “kind” and “thoughtful” staff were. They were polite and considerate with residents. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 11 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 Residents enjoy the lifestyle offered at the home and maintain contact with family and friends. They are helped to exercise choice and control over their lives. EVIDENCE: Residents said they enjoyed their lifestyle at the home. They had a choice of outings and activities including a recent trip to a garden centre for coffee as well as local trips to the shops. Each week there is an art class held at the home and some of the residents work is displayed. They have a choice of meals which they appreciate. One person enjoys playing the piano and this takes place in the lounge usually before lunch. Communion is held at the home each month and visits are made by volunteers from local churches of different denominations on an informal basis. Visitors are welcome at all reasonable times and residents can use a private lounge if they so wish. Residents manage their own finances often with the help of relatives or solicitors. They are entitled to bring their own possessions to the home and this was evident in the variety of styles in each person’s room. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 12 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 Residents are confident about how to make a complaint and that it would be acted upon. They are protected from abuse. EVIDENCE: There is a clearly written complaints procedure and residents understood who to take a complaint to. They confirmed that the manager was available to them and that she was very approachable. There is also a written procedure for staff to follow should there be any suspicion or allegation of abuse. They were able to tell the inspector how they would deal with any allegation and what the signs and symptoms might be. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 13 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, 21, 22, 23, 24, 25 & 26 Residents live in a well-maintained environment and have access to safe and comfortable indoor and outdoor communal space. There are sufficient and suitable toilets and bathrooms with specialist equipment in place to maximise independence. Resident’s rooms meet their needs. They are safe and comfortable with their own possessions around them. The home is safe, clean, pleasant and hygienic. EVIDENCE: The home is located in a residential area and is kept in good repair. It is set back from a busy road which one resident said she liked because of the constant interest this provides. The grounds are very well kept and accessible. Residents enjoy the back garden which is provided with garden furniture and gazebos. The premises comply with the recommendations of the local fire service. At present there is a bolt on the front door which was fitted for the safety of a previous resident. The manager confirmed that this would be removed but also Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 14 that anyone who was safe to leave the home on their own could do so by the back entrance which was not restricted. There is a large lounge in the front of the house which is very comfortably furnished. In addition, there is a lounge/dining room and a small private lounge which is located on the first floor. There are sufficient toilets and bathrooms which are accessible and clearly marked close to lounges and dining areas. The majority of rooms have their own en-suite facilities. Residents can access all parts of the home with the provision of ramps, a passenger lift and stair lift. Grab rails are fitted and hoists are provided. Baths in the bathrooms have chair lifts and showers have seats. There is a call system throughout the home and residents wear pendants so they can call for help at any time. All residents had their own room although five are designated as double rooms. Furniture and equipment in bedrooms was good and it was clear that residents had made their rooms their own by bringing in their own possessions. All bedrooms were fitted with locks and residents had a choice about whether they wanted to use them or not. There is a separate laundry which is suitably equipped and domestic staff are employed to keep the house clean. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 15 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 There are sufficient staff to meet the needs of residents who are in safe hands. They are protected by the homes recruitment procedure and staff are competent to do their jobs. EVIDENCE: There is a recorded rota of staff who are working at the home at any time. Four people work throughout the morning and early afternoon, three from 2pm until 7.30 then two staff throughout the night. Staff do extra hours to cover for holidays and sickness which means that no agency staff are used at the home. The care team are supported by domestic staff including two cleaners, cooks and an administrator. A good training programme is run for staff which covers all of the basic areas such as food hygiene, fire safety, infection control, medication and safe lifting. More specialist courses are also provided in areas such as diabetes, promoting continence and preventing falls. The manager stated that a number of staff are due to start National Vocational Training (NVQ) with a view to meeting the recommended 50 trained staff. Recruitment of staff includes following up references and a Criminal Records Bureau (CRB) check. The manager ensures that staff from abroad have a work permit. The home has a particularly good record of staff retention which means that residents know and trust the staff. New staff are made aware of the General Social Care Council and it’s Code of Conduct. They are also given a good induction and foundation training all of which is thoroughly recorded to show it is completed. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 16 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, 33, 35, 37 & 38 The home is well managed by a person fit to do so and resident’s benefit from the ethos and leadership provided by the manager. The home is run in the best interests of residents and their financial interests are safeguarded. The policies, procedures and record keeping protect residents’ rights and their health and safety is protected, as is that of the staff. EVIDENCE: The manager is experienced and respected by staff and residents alike. She is only responsible for one establishment and everyone is clear about who is in charge. They said that the manager was freely available, “always at the home” and was approachable. A survey of resident’s views about the service provided at the home had recently been undertaken. It showed that 95 of resident were either “very satisfied” or “satisfied”. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 17 There are no outstanding requirements or recommendation from the Commission for Social Care Inspection (CSCI). Residents look after their own money although a number of relatives deposit small amount of spending money with the manager. Good arrangements are in place to ensure that this is accounted for including a written receipt for each deposit and a monthly statement to the relatives concerned detailing all outgoings. Secure facilities are provided for safekeeping and only senior staff handle residents money. All records required by regulation are kept. They are up to date, accurate and very well organised. The manager ensures safe working practices by providing training in moving and handling, fire safety, first aid, food hygiene and infection control. She has maintenance contracts in place for the regular servicing of equipment such as the lift, hoists and fire safety equipment. As assessment was recently carried out to determine the risk of Legionella and no action was required. Radiators are covered and water temperatures are regulated. Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x 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 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 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 4 x 4 x 3 4 Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 19 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. 2. 3. Refer to Standard 8 19 28 Good Practice Recommendations All action taken to meet residents needs should be recorded The bolt on the front door should be removed An NVQ training programme should be in place Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Crossways Care Home H60-H11 S46532 Crossways V241127 300805 Stage 4.doc Version 1.40 Page 21 - 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!