Inspection on 06/01/06 for Crossways Care Home

This inspection was carried out on 6th 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.

Other inspections for this house

Crossways Care Home 22/04/09

Crossways Care Home 10/04/07

Crossways Care Home 30/08/05

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 Unannounced Inspection 6th January 2006 09:45 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 Crossways Care Home DS0000046532.V276303.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. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Crossways Care Home Address 2 Sunte Avenue Lindfield Haywards Heath West Sussex RH16 2AA 01444 416841 01444 453830 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) Crossways Healthcare Limited Mrs Deepwantee Mannick Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30th August 2005 Brief Description of the Service: Crossways is a care home providing personal care and accommodation for up to twenty-five people aged sixty-five and over. It is a large detached 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 DS0000046532.V276303.R01.S.doc Version 5.1 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. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 9.45am over six hours. During the inspection fourteen residents were spoken to privately and the others were seen over lunch or in communal areas. Three visitors were also spoken to as well as a visiting optician. A discussion was held with the manager and a number of records were seen. Residents said “I wouldn’t change it for the Ritz”, “staff are good to me” and “there is nothing to complain about”. 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. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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 Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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): None EVIDENCE: Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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): 7, 8 & 10 Resident’s needs are set out in an individual plan of care. Their health care needs are met and they are treated with respect. EVIDENCE: Each resident has a written care plan giving details of the action needed to meet their needs. It is regularly reviewed and updated by the manager. Residents were well presented and it was evident that staff paid attention to detail when providing personal care. For example, one very elderly lady needed assistance with dressing and staff had made sure she was wearing her earrings, as per her wishes. Attention was also given to ensuring residents do not develop pressure areas and if this does happen then professional advice is sought. A community nurse had attended one person for a small pressure area however, this had now cleared and the nurse has discharged the resident, confident of the care provided from the home. Residents confirmed that they were registered with their own GP and that they have access to other health professionals. During the inspection an optician and chiropodist were at the home. Consultations and medical examinations with residents are conducted in their own rooms. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 9 Residents preferred form of address is recorded and used by staff. Staff knock before entering rooms. Residents are able to use a telephone in private, although one person said he had been waiting some time to have his own telephone connected. This was followed up with the manager who said she would discuss the matter further with the resident concerned in order to resolve the matter. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 10 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): 13 & 15 Residents maintain contact with family and friends as well as the local community. They receive good food in pleasant surroundings. EVIDENCE: Visitors said that they were welcome at the home at any time. They were always provided with a tea tray to share with the person they were visiting and could stay for lunch if they wished. Some residents went out to the local shop and a volunteer came in to the home to run an art class each week. All residents praised the food provided. They said that it was “good” and that they “had plenty to eat”. Special diets such as those for people with diabetes are catered for. Fresh fruit and vegetables are used and the menu is put up each day. Residents have a choice of main meal. The dining room is pleasantly furnished and residents were supported to eat well and enabled to do so at their own pace. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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 EVIDENCE: Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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): 19 & 20 Residents live in a well-maintained environment. They have access to safe and comfortable indoor and outdoor space. EVIDENCE: The location of the home is suitable for it’s stated purpose and residents said they appreciated being able to get to the local shop, which “sold most things”. The premises are well maintained and decorated. The grounds are well kept and appreciated by residents. The recommendations of the local fire service are fully met and a recent Environmental Health Officers report stated that the homes standards were “excellent”. There is a lounge/dining room at the back of the house overlooking the garden and a separate lounge at the front of the house. In addition, there is a small lounge on the first floor. Furnishings are domestic in style and all rooms are well lit. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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): 28 Residents are cared for by competent staff, however this could be enhanced by the completion of training. EVIDENCE: Three people are currently undertaking NVQ training. One person has obtained Level 2. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 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, 34, 36 & 37 The manager is fit to run the home and there are suitable accounting procedures in place. Staff supervision could be improved. EVIDENCE: The manager has been in charge of the home for over two years and is currently studying for NVQ Level 4/Registered Managers Award. She is joint owner of another home but only manages Crossways. Insurance cover is in place and up to date. The manager spends time at the home and therefore is able to provide day-today supervision of staff. Both the manager and her deputy have undertaken training in the formal supervision of staff and some individual supervision takes place and is recorded. The system does not cover all staff, although it is the intention of the manager to ensure that it does. Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 15 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 X X X X 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 X 13 4 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 X 2 3 X Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 16 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. 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 OP8 OP28 OP36 Good Practice Recommendations All action recorded to meet residents care plans should be dated and include the year of entry A minimum of 50 staff should have achieved NVQ Level 2 Staff should receive formal one to one supervision Crossways Care Home DS0000046532.V276303.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Worthing LO 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 DS0000046532.V276303.R01.S.doc Version 5.1 Page 18 - 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!