Inspection on 23/02/06 for MacIntyre - The Croft

This inspection was carried out on 23rd February 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

MacIntyre - The Croft 07/01/09

MacIntyre - The Croft 23/11/06

MacIntyre - The Croft 13/07/05

MacIntyre - The Croft 03/02/05

MacIntyre - The Croft 26/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE Lead Inspector Mr Val Flannery Unannounced Inspection 23rd February 2006 01:15 The Croft DS0000006667.V280616.R01.S.doc Version 5.1 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 The Croft DS0000006667.V280616.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 Adults 18-65. 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. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Croft Address 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE 0151 339 1988 0151 3391988 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) www.macintyrecharity.org MacIntyre Care Mrs Patricia Cox Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users in the category of LD (Learning disability) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 13th July 2005 Date of last inspection Brief Description of the Service: The Croft is a care home for four adults with a learning disability. Although located in a residential estate in Ellesmere Port the semirural area surrounding the home ensures the privacy of service users is protected. A range of local shops, pubs and other facilities are within easy reach of the home. The home is a four bed bungalow, all the bedrooms are single. The rooms are individually decorated and furnished and contain handwashing facilities. A range of hoists and other lifting aids are available to assist service users with mobility problems. Communal space consists of a large lounge and dining room. There is a secure, well-maintained garden to the rear of the home. Sufficient bathrooms and toilets are provided. Staff are on duty twenty four hours a day to deliver care to service users. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two and a half hours on the 23rd February 2006. One hour was spent preparing for the inspection which included reading the previous inspection report and reviewing the service history for the home. Four service users and two staff were spoken with during the inspection. Two service users plans’ of care were seen as were a number of other records. A partial tour of the building was carried out. Service users have limited communication capabilities. Feedback following the inspection was given to the senior support worker. What the service does well: Person centred plans showed that the care needs of service users has been identified and these are recorded and monitored. Wherever possible service users are enabled to take responsible risks with help and support from staff. Service users are supported by staff to use community facilities, for example, shops, local beauty spots and day centres. It was evident that staff are aware of their responsibilities with regard to treating service users with respect and dignity. The menus showed that service users are offered a choice of meals. Health and personal care needs have been identified and plans are in place to ensure these are met. Plans of care showed that doctors and other health care professionals are involved in caring for service users. MacIntyre Care have an administration of medication procedure in place which ensures service users receive their medication as prescribed. A complaints and adult protection procedure is in place which ensures service users are protected from harm and are able to raise issues of concern. Service users live in a bungalow that is comfortable, safe and well maintained. Single bedrooms are individually decorated and furnished and contain lifting aids to help those with mobility problems. Staff were seen communicating with service users and encouraging them to make decisions within their capabilities. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 6 The home is managed and run in the best interests of service users. The registered manager is experienced and has been employed by MacIntyre Care in a senior capacity for a number of years. 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. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2/3/4/5 Contracts are in place that set out the terms and conditions of service users’ residency in the home. EVIDENCE: The current service user group have lived in the home for some time. The records seen showed their care needs were assessed and that they are continually updated to reflect their current needs. MacIntyre have procedures in place whereby prospective service users and/or their representatives are enabled to visit the home before making a decision about moving in. Staff from the home will carry out a pre-admission assessment and will visit the prospective service user in their current location. MacIntyre have a block contract with the funding authority for the current service users. There is also a contract of residency between individual service users and MacIntyre, copies of which are kept on service users’ files. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6/7/8/9/10 Service users’ plans of care are updated to show changes in their assessed needs. Risk assessments are carried out to ensure the safety of service users. EVIDENCE: The service users’ plans of care seen showed that their care needs are monitored and action taken to address any concerns. Included in the plans is the level of assistance they need with personal care, moving about the home and attending community based activities, for example, day care centres. During the inspection one of the service users slipped to the floor. Staff were seen supporting the service user and assisting her to a chair. The support and help was given in a caring and sensitive manner. Records seen showed that risk assessments are carried out to ensure the safety of service users. Service users are consulted, where possible, about the day-to-day running of the home. This can include changes to the environment, menus and activities/holidays. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 10 During the inspection staff were seen encouraging service users to make decisions about where they wished to spend their leisure time and moving between their bedroom and communal areas. MacIntyre have provided procedures on the confidentiality of information, a copy of which is available to staff. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/14/15/16/17 Services users are enabled to live a fulfilling lifestyle-both inside and outside the home. Personal support is offered in a sensitive and caring manner, this helps service users to be as independent as possible. EVIDENCE: Service users are supported to take part in community-based activities such as day care centres and leisure activities such as visiting local beauty spots/shopping. A list was displayed on the office wall of the daily routines/activities for individual service users. Ellesmere Port town centre is a few minutes’ drive from the home as is a large outlet village/leisure complex. However, the location of the home does make it difficult to access local shops. Staff said the roads leading to/from the home are quite steep and make it ‘very difficult’ to take service users out in wheelchairs. There are also concerns about the anti-social behaviour of a group of local young people and the impact they have on the home. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 12 Service users’ records showed that relatives/friends are able to visit the home. Staff spoken with said relatives are kept informed of accidents/incidents involving service users. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18/19/20/21 Service users’ health and personal care needs are set out in their plans of care. Services users receive full support from staff with their care needs. EVIDENCE: A separate file is kept on individual service users which showed that their healthcare needs have been assessed and recorded. Plans of care seen showed that residents receive visits from doctors, nurses and other health professionals. Letters were seen that showed residents are supported to attend hospital appointments. The reasons for the visits and the recommended treatment were also recorded. Service users require full assistance from staff with their medication. Staff signed records seen of medication administered to residents. During the inspection staff were seen providing personal care to residents, for example using the bathroom, dressing and having a drink. This was carried out in a caring way that respected their privacy and dignity. The home has lifting aids/hoists to assist those residents with mobility problems. These are used to assist residents with bathing and getting in/out of bed. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 14 The organisation has provided policies and procedures on caring for residents’ who are ill and on the death of a resident. Copies of these are made available to staff. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22/23 Arrangements are in place to ensure service users and others are able to raise issues of concern/worries. There is a procedure in place for protecting service users from abuse. EVIDENCE: A copy of the complaints procedure was seen during the inspection. This has been provided in picture format for ease of use by service users. It included details on how to contact the Commission for Social Care Inspection. The senior support worker said no complaints have been received since the last inspection. CSCI have not received any complaints. An Adult Protection Procedure is available, a copy of which is kept in the home. A copy of the government’s guidelines ‘No Secrets’ is also available in the home. Staff spoken with were aware of the complaints and adult protection procedures and what to do if a problem arose. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24/25/26/27/28/29/30 The home provides a well-maintained and safe environment for service users. A high standard of accommodation is provided for service users. EVIDENCE: The home is a domestic type bungalow, is well maintained, safe and provides a comfortable environment for service users. Bedrooms are individually decorated and furnished and meet the assessed needs of service users. All bedrooms are single and have hand-washing facilities. Two bathrooms and two toilets are provided for the service users. Communal space consists of one large lounge and a dining room which is next to the kitchen. The garden to the rear of the home is secure and well maintained. Service users would need assistance from staff to use the garden. Lifting aids such as bath hoists, grab-rails and wheelchairs are provided for service users with mobility problems. On the day of the inspection the home was clean and free from unpleasant smells. The senior support worker said new carpets have been laid in the hallway and office. Service users’ bedrooms have been re-decorated. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 17 The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31/32/33/35/36 Staff are employed in sufficient numbers to meet service users’ assessed needs. Staff are enabled to attend suitable training courses, including NVQ, in order to further improve the care offered to service users. EVIDENCE: The staffing rota showed that there are normally two members of staff on duty during the day and one waking staff during the night. The registered manager can be included as part of the rota. Staff on duty were able to discuss the care needs of service users as identified in the plans of care. The senior support worker said that staff in the home cover gaps in the rota. She also said there is a staff recruitment programme in place. Staff spoken with said their role and responsibilities are discussed with them in individual supervision sessions, staff meetings and on the job monitoring. They also said they are able to contact a senior member of staff during the day or night for advice and guidance on issues that may affect service users. During the inspection staff were seen communicating with service users in a respectful manner. They were seen helping service users with personal care; this was carried out in a manner that respected their dignity. The organisation have arranged a training programme that ensures all staff are given the opportunity to further develop their caring skills. This includes NVQ The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 19 training. According to the senior support worker over 50 of care staff have achieved an NVQ in care. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37/38/40/41/42/43 The health, welfare and wellbeing of service users underpin the overall management of the home. A range of policies and procedures are provided by the organisation. These offer guidance to staff on the delivery of care to service users. EVIDENCE: The registered manager has worked for MacIntyre for a number of years in a senior capacity. She has achieved NVQ Level 4 in care and has also completed the registered managers’ award. She has also attended training to manage the day-to-day running of the home. As part of her employment contract the manager works nineteen hours per week supporting service users and nineteen hours per week in her role as manager of the home. Staff spoken with said their views and those of the residents are sought and listened to with regard to the running of the home. They also said they receive support, supervision and guidance from the manager and other senior staff in the organisation. A copy of the 2006 service plan for the home was seen during the inspection. The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 21 Systems have been developed by the Trust to support the manager and ensure the well being of residents is promoted. For example, the acting area manager visits the home on a monthly basis. Heads of service also meet on a monthly basis. MacIntyre have provided a range of policies and procedures, copies of which are available to staff. A tour of the building showed that health/safety and maintenance issues are addressed and that the home is geared to providing a safe environment for residents. During the inspection the following records were seen and were satisfactory: • Fire Safety checks including risk assessment • Electrical Installation Certificate • Service information re: equipment in the home • Portable Appliance Tests • Yearly safety and performance of the gas boiler • Duty of care certificate The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 X 3 3 3 3 The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 23 No 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. 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. Refer to Standard Good Practice Recommendations The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 The Croft DS0000006667.V280616.R01.S.doc Version 5.1 Page 25 - 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!