Inspection on 16/02/06 for The Croft

This inspection was carried out on 16th 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

The Croft 14/12/06

The Croft 05/10/05

The Croft 16/02/05

The Croft 28/09/04

The Croft 02/03/04

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 11a Albany Road Morecambe Lancashire LA4 4JY Lead Inspector Mrs Joy Howson-Booth Announced Inspection 16th February 2006 10.00 The Croft DS0000010065.V273324.R01.S.doc Version 5.0 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 DS0000010065.V273324.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 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 DS0000010065.V273324.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Croft Address 11a Albany Road Morecambe Lancashire LA4 4JY 01524 410972 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) Mr Mahendranath Bhowruth Mrs Krisnawatee Bhowruth Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2005 Brief Description of the Service: The Croft is a small registered home for up to 6 people of either sex who have a learning disability. The home provides a domestic-type environment of care within a family style home. The home is owned and managed by Mr & Mrs Bhowruth, both being trained nurses. There is one carer who assists with providing care in the home, although Mr & Mrs Bhowruth’s family provide some non-personal care support. Each resident is enabled to maintain and develop their lifestyles with support as necessary from Mr & Mrs Bhowruth, the member of staff and/or or other professionals. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was carried out by the inspector for the home over three hours. The services provided by the home were inspected against the National Minimum Standards. There were 5 residents in the home who were spoken with. In addition, the registered provider/manager was also spoken with. Two care files were examined, along with other documentation held by the home. Four comment cards were received – two from visitors to the home and two from healthcare professionals. Comments made were very positive and noted that the home provides excellent care. Another card included “I can visit anytime and always made welcome. A very happy environment and everyone seems content.” All the residents spoken with said they liked living at the home and felt they were well cared for and their needs met – “we’re one big happy family”. What the service does well: The five residents spoken with have all lived at the home for a number of years and continue to have firm friendships and relationships both with each other and the registered providers and their family. The home continues to be run as a relaxed and friendly family environment with each resident having equal say and input. The service and care provided is supportive and respectful and given at a relaxed pace which the residents clearly enjoy. The registered providers continue to act as strong advocates for the ladies who live at the home to ensure they all have a very good quality of life. Having completed the Registered Managers Award in 2005 it is pleasing to see how the registered provider is using this training to review and assess the service provided, making improvements to documentation, etc., as necessary. The Croft DS0000010065.V273324.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. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 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 DS0000010065.V273324.R01.S.doc Version 5.0 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): Standard 2 was assessed and met at the previous inspection EVIDENCE: The Croft DS0000010065.V273324.R01.S.doc Version 5.0 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): Standards 6, 7 and 9 were assessed and met at the previous inspection EVIDENCE: The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 10 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, 15, 16 and 17 Residents are supported to have a good quality of life which includes experiencing a range of social and leisure and activities which are age appropriate, positive and reflect their preferences and wishes. Resident’s rights are respected at all times. There are no restrictions for friends and families visiting and resident’s benefit from these visits. Arrangements and planning to provide good nutritional food are good and the residents are provided with good food to ensure healthy living. EVIDENCE: All the residents were spoken with and continue to say that they are very happy at the home – “we’re one big happy family”. Residents again confirmed that they are treated with dignity and respect and, if they have any problems or concerns, they are listened to and the appropriate action is taken. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 11 From viewing care records and from discussion with the residents at the home have a personalised lifestyle which they contribute to and make decisions about. Residents attend College courses, social activities, church, line dancing, shopping outings, meals out and so on. Residents are free to get about their local community and have regular contact with their relatives, friends and neighbours. It was advised that a weekly timetable for each resident could be included in their personal care file. Residents meetings are held and, from the minutes read, are lively debates where residents are free to talk about their wishes and activities. At the most recent residents meetings feedback over the new menus, new proposed carpeting, ideas for activities were sought. A new menu has been introduced which the residents say they have contributed to. This was confirmed in the minutes of residents meetings. There is a choice of meals available each day and personal likes and dislikes are respected. All the residents said they enjoy the food at the home. Lunch was eaten with the residents and proved to be very enjoyable and social event with very generous portions, seconds if wanted, with a range of vegetables and very good quality. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 12 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): Standards 18, 19 and 20 were assessed and met at the previous inspection EVIDENCE: The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 13 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): 23 Residents are protected from abuse by trained staff who are supervised by a competent manager EVIDENCE: This home benefits from being run as part of a family environment and there is only one external member of staff employed. Abuse awareness training has been accessed by both the registered providers and also by the member of staff. There is a policy which outlines the actions to be taken should an incident of abuse be suspected or occur but this needs to include the guidance in the Department of Health’s document “No Secrets”. An incident was discussed with the registered provider and advice was provided that where there may be additional support required to an individual, there should be clear identification on their care file of possible triggers or flashpoints and a strategy written to deal with the management of any incidents. Residents spoken with said they could talk with the registered provider in private if they wish to and feel safe and well cared for. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 14 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): Standard 24 was assessed and a requirement made at the last inspection Standard 30 was assessed and met at the last inspection EVIDENCE: A requirement made at the last inspection required the home to have an area of damp seen in one residents room treated and the cause of the damp traced and rectified. During this inspection, it was seen that satisfactory action has been taken to address this problem and the resident’s room is now free from damp and the damp area redecorated. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 15 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): Standards 32 and 34 were assessed and met at the last inspection Standard 35 was assessed and a requirement made at the last inspection EVIDENCE: A requirement was made that the member of staff employed at the home must receive formal supervision 6 times a year. During this inspection supervision records were seen which confirm this requirement is being addressed. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 16 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): 39 and 42 Experienced and qualified management and staff run the home which results in the residents living in a well-managed environment. EVIDENCE: Residents meetings are held every 3 months and minutes of these were seen during this inspection. Residents confirmed their opinions and views are sought on daily aspects of the home and their own personal lifestyles. A formal questionnaire is sent out to the 5 ladies who live at the home asking for their views on a range of issues – activities provided, food, routines, outings, financial arrangements, decision making, care provided and if there are any concerns or complaints. Copies of the completed questionnaires were seen during this inspection. Residents were aware of this inspection and were available to spend time talking to the inspector. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 17 The registered provider has confirmed in the pre-inspection questionnaire that regular servicing and maintenance of equipment and facilities takes place in the home. A sample of these records was seen. Fire drills take place on a regular basis – the last one on 14 February 2006. Policies and Procedures are in place in the home and advice given that these should be formally reviewed on a 12-month basis. Residents who travel in the community have been provided with personal attack alarms. The home has an accident book in place. The registered provider has completed the NVQ (National Vocational Qualification) Level IV / Registered Managers Award and has also undertaken food hygiene and first aid training. The one member of staff employed has completed the TOPSS (Training Opportunities in Personal Social Services) Induction training, LDAF (Learning Disabilities Award Framework) training and is currently undertaking National Vocational Qualification Level III. Moving and Handling and other training is also planned for the future. The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score x X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Croft Score X X X x Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000010065.V273324.R01.S.doc Version 5.0 Page 19 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. 1 2 3 Refer to Standard YA14 YA23 YA42 Good Practice Recommendations A timetable of activities planned and undertaken should be kept on individual resident’s care diaries A strategy for providing the additional support required by one resident should be produced and kept on their care file Policies and Procedures should be reviewed on an annual basis (or sooner if required). The new abuse procedure should include the guidance provided by the Department of Health’s document “No Secrets” The Croft DS0000010065.V273324.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 DS0000010065.V273324.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. 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