Inspection on 01/06/05 for Crown Rest Home

This inspection was carried out on 1st June 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

Crown Rest Home 09/04/10

Crown Rest Home 24/04/07

Crown Rest Home 20/10/05

Crown Rest Home 11/01/05

Crown Rest Home 30/06/04

Crown Rest Home 21/10/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Crown Rest Home Station Road Little Dunham Kings Lynn PE32 2DJ Lead Inspector Ruth Hannent Unannounced 1st June 2005 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. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Crown Rest Home Address Station Road, Little Dunham, Kings Lynn, Norfolk, PE32 2DJ 01760 722039 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) Mr Christopher Wood and Mrs. Lindsey Wood Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2005 Brief Description of the Service: Crown Rest Home provides residential care for twelve older people. Although a range of needs is catered for there is no ‘specialised’ service. The home comprises of the original building (which was a public house) plus some more recent extensions. Care has been taken to make access as easy as possible throughout the property. The home is situated a short distance out of the village, and there is a better than average (four times daily) bus service. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over two and a half hours. The Registered Provider accompanied the Inspector throughout the inspection. The records that were looked at were:Training for staff, recruitment of staff, care plans and assessment of residents and a quality assurance format. Four residents and 1 person attending for the day were spoken as a group to in the lounge. Three residents were spoken to individually in their bedrooms. Two staff members and one volunteer visitor were also spoken to. A tour of the building took place with the Inspector seeing four individual bedrooms, one bathroom, the laundry, kitchen and lounge/dining room. 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 Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 6 contacting your local CSCI office. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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 Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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 and 5 A clear assessment process for potential residents is carried out to ensure their needs can be met. The Home welcomes visitors and potential residents giving them the opportunity to see the facilities and suitability of the care provided. EVIDENCE: The Home has a comprehensive assessment process which starts with the initial information received from the families and person themselves. The potential resident is then assessed, either in their home, or in hospital. A detailed form is completed to ensure suitability for the care service available. A form is sent to the medical practitioner to ensure the health needs can be met and all these details are then used to begin the care plan. These forms were seen and on clarification with residents this was the process they went through before moving in. Some residents were invited to the Home for the day and offered a meal giving them the opportunity to see if they would like to stay. Some of the residents said they lived too far away and could not visit but it was noted that after a Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 9 four week trial people had a meeting to discuss their placement as being suitable or not. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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 and 10 A very clear comprehensive care plan enables staff to deliver a person centred service. The health needs of residents are fully met to ensure well being of each one. This is most definitely their home and each resident is offered the respect and dignity expected. EVIDENCE: All the care plans are kept with their owner in the bedrooms. One was looked at that gave a full picture of the need for the resident. A blank format, which is taken to the assessment, was also seen that asked many varied questions to ensure all aspects of the persons needs could be recorded. This would enable staff to offer a person centred approach to the care. The Home has a close working relationship with the health professionals who visit regularly and as the Manager is a registered nurse the intervention to deal with medical concerns can happen quickly. (For example blood pressure checks are recorded to monitor blood pressure concerns). Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 11 Residents were seen and spoken to in both the lounge and in their private rooms. They spoke of the way care was offered, how they were involved and active in every decision that affected them and how the staff always ask them for permission to enter their rooms. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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 and 15 The residents are clearly able to say and do receive what they expect and prefer to meet their recreational interests and needs. A good community spirit and regular contact with other people is part of the everyday life at this Home. The meals provided are good, well balanced and nutritional. EVIDENCE: Five residents who were in the lounge spoke of their lifestyles. They were all from different backgrounds and had various expectations. Each one gave examples of how they felt they were met from the time they receive their first hot drink in the morning to the time they go to bed. From listening to tapes from the RNIB to reading the paper and doing the crossword to chatting with visitors. Parties are planned for all birthdays. Trips out to Sandringham and the coast with barbeques are done in the better weather and firework displays and Christmas events in the winter. The residents have their own activities fund and with which, last year, they decided to purchase their own loop system for the lounge. The residents have visitors as often as they wish. On the day of the inspection a volunteer arrived with her PAT dog to the delight of the residents. This lady Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 13 is actively involved with the Home often doing manicures and spending time talking with the residents. The local school also visit to sing or show their nativity play, with the residents then offering something at Easter time to thank the children in return. The residents discussed the meals provided and how much they enjoyed what was offered. During the afternoon the three staff members on duty were discussing a huge choice that was available for tea in an informal group over a cup of tea that created a stimulating conversation. The Manager works with a dietician in the village for when a new menu is created to ensure the meals are balanced and have the correct nutritional value. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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 Residents are able and do feel confident that their concerns/complaints will be addressed appropriately. EVIDENCE: Two residents were asked what they would do if they were unhappy about any aspect of the Home. Both said they would talk to the Manager and said they felt confident it would be acted upon if at all possible. One resident stated she often had discussions of concern that were always addressed and knew that the concerns were received positively. The Home also has a residents committee and the five residents in the lounge stated they can use this forum to complain if they wished. “This is our home and we know within reason we will be listened to”. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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) 19,24 and 26, The residents live in a safe, well-maintained environment. The bedrooms were seen as clearly owned by the residents with personal belongings and furnished appropriately and comfortably. The residents live in a very clean and pleasant home. EVIDENCE: Throughout the walk around it was noted the up to date servicing of the fire equipment (02/05). The areas were clean tidy and decorated well. There is adequate lighting and a large well-maintained garden for use in the better weather. All bedrooms seen have an en-suite facility with all the furniture required in the bedroom. The one resident who manages her own medication has a locked drawer in her dressing table which she showed when allowing the Inspector to see her room. All bedrooms have a lockable door if the resident so wishes. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 16 The Home has a laundry that was seen as neat clean and tidy. All cleaning chemicals were locked away and infection control procedures are followed. It was noted that staff wash hands regularly and use aprons when required. The Home has no unpleasant odours. Records were seen of training that had recently taken place on infection control for all staff. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 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) 29 and 30 The Home has a clear procedure for recruitment of staff to ensure the residents are supported and protected. A full programme of suitable training and monitoring is in place for staff to ensure that they are competent to do their job. EVIDENCE: One file for one staff member was looked at. Included was an application from, two references, CRB check and an induction pack. The Manager is very clear about the procedure and gave a full description of the process from the advertising to the recruiting. The Manager is also aware of now checking the POVA register for recruiting staff in the future. The Manager is keen to ensure staff have the relevant support and training. When a member of staff is recruited they will shadow the Manager for a week she then shadows them for a week and then slowly allow the staff to complete tasks alone if capable. The induction pack (Manor Care) is completed and statutory training is put in place. Recently completed training courses were seen recorded on file such as moving and handling, infection control and food hygiene along with the ongoing course on safe handling of medicines which all staff are completing units on. Individual courses are also planned and seen was the next planned training of the ‘understanding of strokes’. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 18 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 and 36 The Home is well run and managed by a competent, fit person. The residents, through good management, benefit from a well run home. The recording of supervision is not taking place appropriately at present. The staff need regular recorded sessions to ensure good practise is occurring. EVIDENCE: The Manager has owned and managed the home for many years. She is a registered nurse and has completed a relevant management course (NVQ5). She is regularly updating herself with information and on the day of inspection was seeing her tutor who is assisting with a computer skills course. To also retain her pin number she will work no more than 5 hours a month as a District Nurse that in turn offers the skills to the residents for monitoring health. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 19 The Manager works with an open door management style. The residents are empowered to voice their opinions and the staff all work well as a team with the Manager at the helm. This was reflected by one staff member who feels able to have her say, but also be supported and encouraged by her Manager. Each staff member has an annual appraisal that is documented and was seen on file for a staff member. This was the only record of supervision that was seen and no further records for supervision were recorded although informal supervision does occur according to the Manager no recording takes place. (Recommendation) Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 20 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 x 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 x 15 4 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 x x x 2 x x Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 21 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 36 Good Practice Recommendations The Manager should record supervision of staff at least 6 times a year. Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 22 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 3BN 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 Crown Rest Home I55s27514crownresthomev230919010605(4).doc Version 1.30 Page 23 - 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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