Inspection on 19/01/06 for Greycroft Residential Care Home

This inspection was carried out on 19th 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 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 12/07/05

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 Mrs Lynn Mitton Unannounced Inspection 17th January 2006 10:00 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 Greycroft Residential Care Home DS0000063677.V273412.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. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greycroft Residential Care Home Address 15 Queens Road Accrington Lancashire BB5 6AR 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) 01254 234766 Mrs Helen Elizabeth Crickmore Mr John Crickmore Mrs Ann Bernadette Williams Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection The care home is registered to provide personal care to a maximum of 14 service users who fall into the category of Older People (OP) 12th July 2005 Date of last inspection 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 2 lounges, large conservatory which is used as the 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 management team aim 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 DS0000063677.V273412.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 6 hours. There were 14 residents accommodated at this time. A tour of the communal areas of the home took place. Over the course of the inspection three of the staff on duty, plus the registered manager and about six residents 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 and care staff. Records pertaining to these people were inspected. Policies and practices were also read. There had been no complaints made to the Commission since the last inspection. What the service does well: Residents said they were very satisfied with the care they received at Greycroft one said; ”we couldn’t be looked after better”, another said; “the girls are marvellous – so patient”. The home was warm, clean and odour free. Many of the care staff team had considerable experience in caring for older people, and were well established at Greycroft, ensuring continuity for residents. The attitude of the staff and management team was to run the home around the needs and choices of the residents. A regular programme of planned activities ensured that residents had opportunities for enjoyment, mental and physical stimulation. Residents were given opportunities to exercise choice and control in their day to day living. Visitors to residents at Greycroft were made welcome. Clear written information about complaints and protecting residents were in place. Staff spoken to knew what to do if a complaint was made to them. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 6 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. Greycroft Residential Care Home DS0000063677.V273412.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 Greycroft Residential Care Home DS0000063677.V273412.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): OP3 The admission procedure for new service users ensured that all information about their care needs was obtained before they arrived for a stay. This enabled staff to have a clear understanding of what they needed to do for them. EVIDENCE: Any new resident wishing to stay at Greycroft would have an assessment completed prior to their admission. Two residents were case tracked and both had an assessment document in place. Greycroft Residential Care Home DS0000063677.V273412.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): OP7 & OP10 There was insufficient evidence to demonstrate that all resident’s care and health needs were being appropriately recorded. Regular reviews of care plans did take place, ensuring that any changes were recorded. From observations, the inspector felt that staff knew resident’s needs very well. EVIDENCE: The inspector looked at two residents care plans. On them was some information identifying the resident’s care and health needs. The inspector and registered manager discussed how these should be further developed to explain how, once these needs have been identified, information advising care staff how these needs should be met. The resident or their next of kin should be involved as much as is possible, and sign the care plan. Since the previous inspection, a metal drugs cabinet had been obtained this made dispensation of medication much easier and safer. Residents spoken to told the inspector that they were spoken to and treat with dignity and respect and gave examples of this. The inspector observed very positive, caring and respectful interaction between residents and care staff. Greycroft Residential Care Home DS0000063677.V273412.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): OP12, OP13, OP14 & OP15 Residents’ individual preferences and choices were known and respected by staff. A regular programme of planned activities ensured that residents had opportunities for enjoyment, mental and physical stimulation. Residents were given opportunities to exercise choice and control in their day to day living. EVIDENCE: On the day of the inspection, bingo was played, 7 residents took part. A weekly activity plan was in place, and a record of activities undertaken was made. A number of visitors were seen coming to the home. The homes policy stated that visitors were welcome at any “reasonable” time. The inspector observed resident’s exercising choice and control over day-today elements of their lives. Care staff were seen to respect residents choices and opinions. Since the last inspection the inspector was advised that all care staff had completed the basic food hygiene training course. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 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): OP16 & OP18 The written procedures for dealing with complaints and protecting residents were in place, and staff spoken to were aware of the procedures to follow. EVIDENCE: There had been no complaints made to the commission since the last inspection. The complaints procedure was on display in the homes communal area. Staff spoken to were aware of the procedures to follow should a complaint be made to them, Two staff spoken to were aware of the homes procedure in regard to protecting residents, and what to do if they had any concerns about any residents wellbeing. The inspector was advised that all care staff had undertaken prevention of abuse training since the previous inspection. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 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): OP19 The home was warm, clean and odour free. Considerable improvements had been made to the standard of the décor and furnishings at Greycroft. EVIDENCE: A cleaner was employed at the home for 17 hours per week. Following a tour of the communal areas of the home, the home was warm, clean and tidy, and there were no offensive odours. Since the last inspection, the inspector was advised that there had been new kitchen units and worktop fitted, new fridge, microwave, cooker purchased. New carpeting had been fitted in the conservatory and small lounge, new dining room furniture had been purchased, new flooring fitted in the laundry room, five, bedrooms had been redecorated, and new carpets fitted, a new double glazing window had been fitted in one bedroom, and new bedroom furniture purchased. A partial re-wire had also been completed. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 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): OP27, OP28, OP29 & OP30 Staff numbers were adequate to meet the needs of the residents, and the care staff team were experienced in meeting the needs of the residents. Some staff were trained to NVQ level 2 standard. Staff training was ongoing which would ensure that the care staff team would be able to competently care for the residents. Procedures for recruitment of staff and checks to safeguard residents were in place. 1: 1 meetings should be regularly implemented in order to ensure individuals personal and professional development. EVIDENCE: The homes newly introduced staffing rota was seen this demonstrated that there were 2 care staff on duty between 8.00am and 8.00pm. There was one wake and watch, and one sleep-in care staff on duty overnight. The registered manager hours included 24 hours each week supernumerary and 12 hours hands on care each week. There were cooks, a cleaner and a handy man also employed. Many of the care staff team had considerable experience in caring for older people, and were well established at Greycroft. Four out of the 10 care staff team had completed their NVQ level 2 training. A further 6 were undertaking this training at the time of the inspection. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 14 The inspector and registered manager discussed 1:1 supervision meetings and team meetings. The last staff meeting took place on the 1/11/2005 and these minutes were seen. The registered manager acknowledged that as yet 1:1 meetings had not been arranged for any staff member. The inspector advised that these should take place at least 6 times a year. (See standard 36). There was evidence on one staff member’s personnel file of an annual appraisal. The inspector observed residents being supported by competent and caring staff. Two staff recruitment files were case tracked and both were found that they now had the information required to evidence that staff had been employed in accordance with the Care Home Regulations. A staff handbook had been recently introduced and issued to each staff member. The inspector advised that a fully copy of all the homes policies and practices should always be available to the care staff team, however it was not necessary to issue each staff member with their own copy. There was a training matrix in place, demonstrating that staff training was given a high priority. The inspector was advised that the induction training was in accordance with TOPPSS specification. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 15 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): OP31, OP33, OP35, OP36 & OP38 The attitude of the staff and management is to run the home around the needs and choices of the residents. Most practices safeguard the health and safety of the residents and staff. EVIDENCE: Since the previous inspection the manager had registered with the Commission. The registered manager and inspector discussed the day to day operations of the home, and established that clear lines of responsibilities and accountability had been established between the registered manager and registered person. The inspector was advised that the registered manager was undertaking the NVQ 4 qualification and it was anticipated that this would be completed by the end of February 2006. The registered manager is due to begin the registered manager’s award in March 2006. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 16 The Commission has received regular reports completed by the registered person. A residents and relatives survey had been conducted by the home in July 2005. The results were on display on the homes entrance hall notice board. The inspector was advised that the registered manager was not appointee for any residents, nor had any involvement in any resident’s personal allowances. One resident was taken to the post office to collect her pension. Bills for the cost of the placement were sent out monthly by post to the next of kin/appointee. On examination of the fire book, it was seen that portable equipment, emergency lighting, fire alarm, fire drill certificates were all up to date. Other safety certificates such as stair lift servicing, electrical installation certificate, and environmental health certificate were all in place and up to date. The inspector and registered manager discussed recent issues regarding the electrical wiring of the home. The inspector and registered manager discussed the correct use of wheelchair footplates. Risk assessments were seen on one residents care plan. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 17 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 18 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. Standard OP7 Regulation Sch3 15, 17(3a) Requirement Timescale for action 31/03/06 2. OP28 18(1c) 3 OP36 12 (5) 4. OP38 13 (4) 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. Staff must receive training 31/03/06 appropriate to the work they are to perform – 50 of staff should have NVQ 2 qualification. The registered person and 31/03/06 registered manager shall, in relation to the conduct of the home, maintain good personal and professional relationships. Unnecessary risks to the health 31/03/06 and safety of residents are identified and as far as is possible, eliminated. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 19 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 All staff administering medication should receive accredited training. Greycroft Residential Care Home DS0000063677.V273412.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington 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 DS0000063677.V273412.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!