Inspection on 12/07/05 for Greycroft Residential Care Home

This inspection was carried out on 12th July 2005.

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

Greycroft Residential Care Home 07/11/07

Greycroft Residential Care Home 21/02/07

Greycroft Residential Care Home 19/01/06

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

CARE HOMES FOR OLDER PEOPLE Greycroft Residential Care Home 15 Queens Road Accrington Lancashire BB5 6AR Lead Inspector Lynn Mitton Unannounced 12 July 2005 10:00 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. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Greycroft Residential Care Home Address 15 Queens Road Accrington Lancashire BB5 6AR 01254 234766 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) Mrs Helen Elizabeth Crickmore Mr John Crickmore Care Home Only Personal Care (PC) 14 Category(ies) of Old age, not falling within any other category registration, with number (OP) 14 of places Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The service shall employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection. 2 The care home is registered to provide personal care to a maximum of 14 serive users who fall into the category of Older People (OP) Date of last inspection March 8th 2005 Brief Description of the Service: Greycroft is a residential establishment, registered for 14 service users aged 65 plus. Service users are either funded privately or by the Local Authority. Greycroft is a detached property on a busy main road adjacent to Victoria Hospital with a garden/patio area at the front of the home where service users are able to sit. There is a small car park to the rear. The home has a lounge, large conservatory, separate dining room, 12 single and one double bedroom, which is en-suite. Bedrooms are available on the ground and first floor. The home is decorated and maintained to a good standard throughout. The proprietor aims to offer a homely residential environment caring for, older people. Accrington Town Centre is nearby, and the home is on the local bus route. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 8 hours. There were 13 residents accommodated at this time. A tour of the home took place. Over the course of the inspection four of the staff on duty, plus the registered person and manager were spoken to, interaction between the service users and staff members were observed. Throughout the report there are various references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of service users. Records pertaining to these people were inspected. Policies and practices were also read. One resident’ relatives had completed the Commission’s comment card, and five residents had completed the service users survey. These indicated that overall they were pleased with the level of service received at Greycroft. What the service does well: What has improved since the last inspection? The new care plan format due to be introduced will more clearly identify resident’s needs and how these will be met by the care staff team. Staff had received training to meet the needs of diabetic residents. There were written procedures for protecting residents in place, and staff were aware of the procedures to follow. Staff files contained most of the information needed to show that all due care had been taken in the recruitment process. Improvements of the maintenance and upkeep of Greycroft had been undertaken in order to create a well maintained and safe environment for the residents. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 6 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. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 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 Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 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) 6 These standards were not examined at this inspection visit. EVIDENCE: Intermediate Care is not offered at Greycroft. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 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 All resident’s care and health needs and how they are to be met at Greycroft must be appropriately recorded. Regular reviews of care plans would ensure that any changes were documented. Training for all staff administering medication would safeguard residents. EVIDENCE: The inspector looked at two residents care plans. On them was some information identifying the resident’s care and health needs. At the time of the inspection new care plan formats were due to be introduced in order to more clearly identify all residents’ needs and how these would be met. This format would also include a more effective way of ensuring that care plans are regularly reviewed. There was information on the care plan regarding both residents’ health needs. There were risk assessments on one residents care plan. Care staff had recently received training regarding the management of diabetes. From observations, speaking to residents and visitors the inspector felt that staff knew resident’s needs. Residents spoke highly of the care given to them by care staff. One said, “I feel safe at Greycroft, the girls are great”. Another commented, “You only have to ask for what you want”. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 10 One relative/visitor to the home commented, “We are very pleased with mum’s care, she has settled in well and is very happy here”. The inspector was advised that the outstanding recommendation regarding medication training for all staff administering medication and a metal controlled drug cabinet had not yet been met. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 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 & 15 Residents’ individual preferences and choices were known and respected by staff. A regular programme of planned activities would ensure that residents had opportunities for enjoyment, mental and physical stimulation. Meals were varied and provided a social occasion on a daily basis. EVIDENCE: The promotion of individual and group activities was discussed, and it was planned that a programme of activities would be introduced. One resident commented that she would like more activities to be on offer. The inspector was advised that one member of the care staff team had been identified to complete and implement an activities programme in the near future. The inspector noted that lunch served on the day of the inspection was a pleasant social occasion. Varied meals were offered to residents with different dietary needs. A record was made of meals served. The 4 weekly menu was seen. Breakfast and supper were own choice. The dietary requirements of 2 diabetics were met. One resident said “I can’t fault the food”, another told me that he’d had bacon, eggs, mushrooms and juice for his breakfast and that he didn’t get that at home! Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 12 One cooks Food Hygiene certificate was out of date. The inspector was advised that plans for all staff to receive this training were in place. Routine monitoring of the fridge, freezer and cooked meats temperatures were being made. It was agreed that the kitchen was in need of re-furbishment and modernisation, but that this was not yet of highest priority. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 13 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) 18 There were written procedures for protecting residents in place, and staff were aware of the procedures to follow. EVIDENCE: Documentation was in place for protecting residents from abuse of any kind. This included residents’ finances and valuables, and reporting of bad practice. These policies should be dated and then reviewed annually or updated as required. An outstanding requirement from the previous inspection regarding completion of POVA and CRB checks for all newly recruited staff had not been fulfilled, but was being pursued at the time of the inspection. Staff spoken to were aware of the homes documentation in regard to protecting residents, and knew what to do if they had any concerns about any residents wellbeing. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 14 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 & 26 The general layout and décor of the home was suitable for the residents accommodated and provided comfortable surroundings. EVIDENCE: On the day of the inspection, the home was found to be clean tidy and warm. One resident commented, “The home is always clean”. There is ramped access to the front of the home. The garden to the front of the home was tidy and attractive. Following a tour of the home with the new registered person, the inspector noted that the outside of the building had been painted, 1 bedroom had been redecorated, one bedroom carpet had been replaced, 1 pvc window had been replaced, a new fridge and kettle had been purchased for the home. One bedroom was found to be odorous. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 15 The inspector and registered person discussed the outstanding recommendation regarding the sluice. It was agreed that a sluice was not needed at that time. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 16 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, 30 Staff would benefit from further training. Procedures for recruitment of staff and checks to safeguard residents must be in place. EVIDENCE: One relative/visitor to Greycroft told the inspector “The staff are a credit to the home and are always caring and happy”. The home was fully staffed at the time of the inspection. The staffing rota was seen and showed that there were at lest 2 care staff on duty at any time, often, the manager or registered person was also on duty. The inspector observed residents being supported by competent staff. Since the last inspection all the care staff team had undertaken moving and handling training, prevention of abuse training and health and safety training. As previously mentioned there had also been training regarding the management of diabetes and plans in place for Food Hygiene training. Two staff recruitment files were case tracked and both were found to have shortfalls of that required by the Commission. These were discussed at length with the registered person. However it was acknowledged that considerable work had been undertaken in attempt to bring staff file records up to date. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 17 It was not clear that in house induction and foundation training met TOPSS specification. This ensures that at the beginning of their employment, care staff have the training needed to ensure that they can competently fulfil their role. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 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) 33 The attitude of the care staff and management was to run the home around the needs and choices of the residents. EVIDENCE: There was no formal measure of the quality of care presently in the home; however, informal discussions about the satisfaction of the residents took place daily. The inspector was satisfied that the care staff team were well established and knew the residents and their needs very well. It was intended that a more formal system would be implemented in the future. The registration of the manager’s application with the Commission was ongoing. Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 19 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x 2 x x x x x Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 20 Yes 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 OP7 Regulation Schedule 3 15, 17(3a) Requirement Ensure care plans comply fully with Schedule 3 of Care Homes Act 2000. All service users must have fully completed care plans in place. The service users, and their family must be fully involved in the ongoing development of these care plans, and agreed and signed. Care plans must be kept under review. The registered person must make arrangements by staff training or by other measures to prevent service users being harmed, suffering abuse or being placed at risk of harm or abuse. Staff files must be fully compliant with Schedule 2 of the Care Home Regulations All staff preparing food must have completed food hygeine training. The home should be free from offensive odours. Staff must receive training appropriate to the work they are to perform. Timescale for action 7th October 2005 2. OP18/OP29 13(6) 7th October 2005 3. 4. 5. 6. OP29 OP15 OP26 OP30 Schedule 2 18(1c) 16(1k) 18(1c) 7th October 2005 7th October 2005 12th July 2005 30th December 2005 Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 21 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 OP9 Good Practice Recommendations Consideration should be given to obtaining a metal controlled drugs cabinet which complies with the Misuse of Drugs (Safe Custody) Regulations 1973. All staff administering medication should receive accredited training. Service users interests and hobbies should be recorded in their care plans. Activities undertaken within the home should be recorded. Introduce a documented quality assurance system. 2. 3. OP12 OP33 Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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 Greycroft Residential Care Home F57 F07 S63677 Greycroft V231191 120705 Stage 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. 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