Inspection on 13/12/06 for The Croft

This inspection was carried out on 13th December 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

The Croft 08/01/09

The Croft 09/03/06

The Croft 27/09/05

The Croft 29/03/05

The Croft 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Croft Low Wiend Appleby Cumbria CA16 6QP Lead Inspector Mrs Margaret Drury Unannounced Inspection 13th December 2006 09:40 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 The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Address Low Wiend Appleby Cumbria CA16 6QP 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) 017683 52684 Mrs Jean Haygarth Mrs Jean Haygarth Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: The Croft is a residential care home, owned and managed by Mrs Jean Haygarth that registered to provide care and accommodation for up to three older people. The home is situated in the centre of Appleby, adjacent to St Lawrence’s Church, the health centre, local library and close to local shops and facilities. The Croft is a large period property with well-maintained grounds providing extra communal space during the summer months. Accommodation for residents is situated on the ground and first floors of the home, the upper floor being accessed by a stair lift. All the rooms are for single occupation and have en-suite toilet facilities. Mrs Haygarth, together with a small team of care staff, provides the care and support to the residents. The home does not provide waking night staff and this information is documented in the information given to the residents and their families. Service users’ health care needs are met by local health centre, through the doctors and district nursing service. The fees in this home are based on a financial assessment of the individual but range from £370.00 to £450.00 per week. There are extra charges for newspapers, hairdressing and chiropody. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit that forms part of the key inspection took place over one morning in December. During the visit the inspector spent time with the manager and the member of staff on duty looking at care plans and records and discussing the running of the home. The inspector was able to spend time with all the residents in their rooms and a tour of the home looking at the environment was undertaken. What the service does well: What has improved since the last inspection? There is an ongoing programme of redecoration and refurbishment that ensures an extremely pleasant environment for the residents. Two of the bedrooms have been completely refurbished to include carpets and curtains. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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 The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from an admission process that incorporates a full assessment of need prior to admission. EVIDENCE: The registered manager ensures a full assessment of needs is completed prior to a resident being admitted to The Croft. Wherever possible family members are present during the assessment, which ensures all concerned know the home is able to meet all the needs. All prospective residents and their families are invited to visit the home and meet the staff and others living there before any decisions about moving in are made.. The manager considers this to be extremely important, as this is such a small home. All residents are given a contract and terms and conditions of residency. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a care planning system that ensures all health and social care needs are met. EVIDENCE: The home has a good care planning system and the inspector was able to examine all of the care plans during the visit. They were found to be very informative, with details of the care needs, healthcare visits/appointments and a moving and handling assessment. Reviews were up to date with the family members being involved wherever possible. Medication is received from the pharmacy in a monitored dosage system and is checked in by the manager who is also responsible for any medication returned to the pharmacy. The inspector checked the records and found them to be correctly completed. All the residents said they were able to see their doctor The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 10 when they wished and although the district nurses are not currently visiting the home they are very supportive when required. Discussions with the manager and staff on duty at the time of the inspection confirmed that residents are always treated with respect and their dignity is preserved at all times. Comments from the residents such as “ the staff are so polite and treat me as a member of the family”. were made to the inspector. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of the home are planned around the residents’ needs and wishes and are flexible enough to meet the changing needs of the individual. EVIDENCE: Discussions with the residents during the visit evidenced that any routines in the home are flexible and ensure those living in the home make their own choices about how they spend their time. The home was full and the inspector was able to speak to all the residents during the visit. They all agreed they like living at The Croft because the home was small and personal and they could choose how to spend their day. Accommodation is on two floors with communal areas available to all residents. Despite this, they all told the inspector they preferred to spend their time in their rooms although two of the residents sometimes met for a chat. One of the residents is particularly fond of the owner’s small dog that visits her in her The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 12 room. This, according to the manager, is proving to be very therapeutic to the resident as she likes to spend most of the day in her room.. The meals are varied and the manager is able to cook what the residents like and so the menus are prepared on a daily basis. All agreed that they enjoyed their meals and were “looking forward to their Christmas lunch”. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel confident that any issue they raise will be dealt with promptly and they are safeguarded by the home’s adult protection policies. EVIDENCE: The home has a complaints book in place but there have been none to record. The home encourages open dialogue and all of the residents are well able to express their opinions. Details of the complaints procedure forms part of the terms and conditions given to each resident. There are policies and procedures in place that outline the rights of those living in the home and these also form part of the terms and conditions of residency. The inspector discussed adult protection issues with the manager and care staff on duty, both of whom showed an awareness of the issues involved and the procedure to follow. Discussions with the residents evidenced they feel protected at all times. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment both externally and internally in this home is very good, providing residents with an attractive, warm and comfortable place in which to live. EVIDENCE: This home provides a very high standard of accommodation for those living there. There is an ongoing programme of redecoration that ensures the residents live in a warm and comfortable environment. All the bedrooms have en-suite toilet facilities and there is a bathroom on each floor, both of which are suitable for any resident that may have a physical disability. The bedrooms are sufficiently large to enable the residents to bring The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 15 favourite items of furniture from their own homes. One resident told the inspector the furniture she was able to bring “helped her to settle down “ and “I could not believe this beautiful room was available for me”. Another resident was very pleased with his room because “ it is so large and airy” and much bigger than those he had in previous accommodation”. There is a lounge and garden room on the ground floor but they are seldom used, as the residents prefer to remain in their own rooms. There are well kept gardens all round the property that are used by the residents during the summer months and the home overlooks the local cricket ground. Domestic arrangements in the home ensure the residents live in clean and hygienic surroundings. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a small staff team that is able to provide a high level of personal care and support. EVIDENCE: The registered manager and a team of four part-time staff provide personal care and support to those living in the home. All the staff have worked at the home for a number of years and the residents told the inspector that this was one of the pleasures of living there. They all said that they much preferred to live in a very small home because it was like “living as part of a family” and the staff “are so friendly and kind”. The manager completes in house training with the staff on an individual basis, which covers all the elements of care. All legal checks are in place with all staff having enhanced criminal bureau checks. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a competent and experienced manager who ensures it is run in the best interest of the residents. EVIDENCE: The manager has a very clear understanding of the needs of older people, as she has owned the home for a number of years. She ensures the best interests of the residents are served and provides exactly the level of care they want and need. The home has a very relaxed atmosphere as was evidenced by comments such as “I live living here as it is like being in my own home” and The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 18 “Jean (the manager) and the girls are lovely and don’t mind if I stay in my room if I want to”. The home does not hold any personal monies on behalf of residents as they are either responsible for their own finances or they receive assistance from a family member. The home has a full set of policies and procedures in place and the manager is always looking at ways to ensure these are kept completely up to date. Record keeping is of a high standard, which safeguards the residents. The manager is responsible for health and safety and all fire safety procedures are in place. She ensures that fire drills and fire safety equipment are tested on a regular basis. All risk assessments are in place and reviewed at the same time as the care plans. The equipment in the home is serviced under annual contracts with documentation in place on file and available for inspection. The Croft DS0000022591.V314080.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X x 3 The Croft DS0000022591.V314080.R01.S.doc Version 5.2 Page 20 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 DS0000022591.V314080.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000022591.V314080.R01.S.doc Version 5.2 Page 22 - 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!