Inspection on 12/10/05 for Crossways Residential Care Home

This inspection was carried out on 12th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Crossways Residential Care Home 19/07/06

Crossways Residential Care Home 17/05/05

Crossways Residential Care Home 10/11/04

Crossways Residential Care Home 05/05/04

Crossways Residential Care Home 26/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Crossways Residential Care Home 306 Yorktown Road Sandhurst Berkshire GU47 0PZ Lead Inspector Robert Dawes Unannounced Inspection 12th October 2005 11.20 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 DS0000011116.V253670.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. DS0000011116.V253670.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Crossways Residential Care Home Address 306 Yorktown Road Sandhurst Berkshire GU47 0PZ 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) 01276 34691 Mr Tom Neehaul Mrs Naz Neehaul Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places DS0000011116.V253670.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Crossways is a residential care home providing 24 hour care to 10 older people over the age of 65. The home is an extended domestic dwelling over two floors with a passenger lift in situ. The home is within close proximity to local amenities and is well served by public transport and is close to the M3 and M4 motorways. DS0000011116.V253670.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the day on Tuesday 12th and Wednesday 13th October 2005. The Inspector toured the premises, looked at records and spoke with three service users, one visiting professional and the proprietor of the home. Fourteen standards were assessed of which thirteen were met and one was not met. Two requirements and one recommendation were made. 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. DS0000011116.V253670.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000011116.V253670.R01.S.doc Version 5.0 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 DS0000011116.V253670.R01.S.doc Version 5.0 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): Numbers 1, 2 and 3. The home has produced a statement of purpose. 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. EVIDENCE: The home has a statement of purpose which includes the information listed in the regulations. Each service user has a contract/statement of terms and conditions which includes the information listed in the regulations and standards. Assessments take place before service users are admitted to the home. DS0000011116.V253670.R01.S.doc Version 5.0 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 the following standard(s): Number 8. The home promotes and maintains service users’ health and ensures access to health care services to meet assessed needs. EVIDENCE: A requirement made during the last inspection for the home to ensure that all service users have access to continence assessments and access to professional advice about the promotion of continence has taken place. All service users are provided with free incontinence pads either through the health service or, if not eligible, by the home. DS0000011116.V253670.R01.S.doc Version 5.0 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): Numbers 12, 13 and 15. Service users are satisfied their social, cultural, religious and recreational interests and needs are met. Contact between service users and their relatives and friends is encouraged. Service users receive a wholesome, appealing and balanced diet. EVIDENCE: Service users have been asked about their social interests and activities. None of the service users want to join in community activities outside the home. Personal interests are encouraged i.e. one service user enjoys completing colouring boards. Between 2pm and 5pm staff offer and encourage service users to take part in activities such as singing, board games and exercises to music. Service users who have sight problems are provided with talking books and music tapes. Service users who are able go with the proprietor to purchase the home’s weekly shopping. Service users said the activities were satisfactory. Menus show a varied selection of meals on offer. Service users are consulted about the menu. If service users do not like the main meal on offer, an alternative is provided. Service users informed the inspector that they look forward to the meals. The meal the inspector tasted was hot, well cooked and DS0000011116.V253670.R01.S.doc Version 5.0 Page 11 appetising. There was a relaxed and happy atmosphere during the meal. Staff were observed to offer assistance where necessary in a sensitive manner. Temperature of hot food is recorded. DS0000011116.V253670.R01.S.doc Version 5.0 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 the following standard(s): This section was not assessed on this occasion. EVIDENCE: DS0000011116.V253670.R01.S.doc Version 5.0 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 the following standard(s): Numbers 21 and 26. Toilet, washing and bathing facilities are provided to meet the needs of service users. The home is clean, hygienic and free from offensive odours. EVIDENCE: The upstairs bathroom has been refurbished and refurbishment of the downstairs bathroom is being planned. The home was clean, hygienic and free of offensive odours. Liquid soap and paper towels are available in all toilet and bathrooms. DS0000011116.V253670.R01.S.doc Version 5.0 Page 14 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): Numbers 29 and 30. The proprietor must improve his recruitment procedures to ensure they comply with the regulations. Staff are trained and competent to do their jobs. EVIDENCE: The files of the two new care assistants showed that two written references had not been obtained and the POVA first check had not been obtained before they started work. The proprietor had requested the Umbrella Body who applied for the CRB disclosure checks to obtain a POVA First check on both carers before they started work but no response had been received. (The CRB informed the inspector that POVA First checks are being issued in a maximum period of 72hours). The inspector requested the proprietor to contact the Umbrella Body as soon as possible and ensure staff do not start work in the home until at least the POVA First check has been obtained. Regulations state two written references must be received before a person can start work in a home. If circumstances necessitate a person does start work before both references have been received verbal contact must have been made with the referees, but best practice is for both references to have been received before that person starts work. New staff attend induction training at a local college which covers the basic training requirements for them to undertake their work. They then work through the foundation modules with their supervisor and after six months start studying for a NVQ 2 in care. In the last few months the majority of staff have received ‘Protection of Vulnerable Adults’, ‘first aid’ and ‘moving and DS0000011116.V253670.R01.S.doc Version 5.0 Page 15 handling’ training. Sufficient staff are trained to administer medication to cover all the shifts. Excluding the managers/ proprietors who have NVQ 4 in care and the Registered Managers award, two staff have achieved a NVQ 2 in care and are now studying for the NVQ3 in care. One member of staff has almost completed the NVQ 2 in care and another is due to start studying in the next few months. DS0000011116.V253670.R01.S.doc Version 5.0 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 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): Numbers 33, 35, and 38. The home is run in the best interests of service users. Service users’ financial interests are safeguarded. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Satisfaction questionnaires are sent to relatives and service users with no relatives twice a year. An annual development plan is produced. Good working relationships have been developed with outside professionals. One professional informed the inspector that she considered the needs of the service users were being well met and she always enjoyed visiting the home. The inspector recommended the proprietor develops a formal method of gaining visiting professionals views about the running of the home. The home does not handle service users’ benefit money. Receipts are now obtained for all purchases made for service users from their personal money. DS0000011116.V253670.R01.S.doc Version 5.0 Page 17 An inventory is made of all personal effects, including furniture, brought into the home by service users. The temperature of the water from the hot water outlets is checked every week. The temperature of the bath water is checked before any service user has a bath. The inspector saw evidence that the hoists, gas boiler, electrical appliances and the fire and emergency lighting systems are regularly checked and inspected in accordance with regulations. DS0000011116.V253670.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X X 3 STAFFING Standard No Score 27 X 28 X 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 DS0000011116.V253670.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 2 Standard OP29 OP29 Regulation 19(sch.2 .5) 19 Requirement Timescale for action 13/10/05 Two written references must be obtained for a persons working in the home. If the proprietor needs to employ 13/10/05 care staff before the CRB disclosure checks have been returned the results of the POVA First checks must have been received before they can start work in the home. 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 OP33 Good Practice Recommendations A formal method of gaining visiting professionals views about the running of the home needs to be developed. DS0000011116.V253670.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 DS0000011116.V253670.R01.S.doc Version 5.0 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!