Inspection on 27/09/05 for The Croft

This inspection was carried out on 27th September 2005.

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 13/12/06

The Croft 09/03/06

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 27th September 2005 10:10 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.V249690.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. The Croft DS0000022591.V249690.R01.S.doc Version 5.0 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.V249690.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 March 2005 Brief Description of the Service: The Croft is a residential care home, owned and managed by Mrs Jean Haygarth and 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 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 Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one morning. During the visit time was spent talking with the manager, care staff and the residents, who were relaxing in their rooms. Records were inspected and all parts of the house and gardens were looked at. What the service does well: What has improved since the last inspection? What they could do better: The care and support given to the residents continues to be of a very high standard and the manager is always looking for ways to improve the care given. The Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 6 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 DS0000022591.V249690.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 The Croft DS0000022591.V249690.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): 2, 3, 4 & 5 Residents benefit from an admission process that incorporates a full assessment of need prior to admission. EVIDENCE: The home has an admission process that incorporates a full assessment of need prior to admission. Prospective residents and their families are encouraged to visit the home before making a decision whether or not to move in. Residents are invited to spend a day at The Croft to meet the staff and other people living in the home. This gives all concerned the opportunity to assess if the home is suitable and able to meet the assessed needs. All residents are given a contract and terms and conditions. The Croft DS0000022591.V249690.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): 7, 8, 9, & 10 The service users benefit from a care planning system that is reviewed on a regular basis. The medication is well managed and administered promoting good health. EVIDENCE: The care plans contain information relevant to residents needs and are updated on a regular basis. All the residents are encouraged to sign their care plans but if they are not able, a family member is invited to be part of the care planning process. The arrangements for storing and administration of medicines are safe and well organised through a monitored dosage system. Healthcare needs are met through G.P. visits and the services of the district nurse when required. All healthcare visits are recorded on the care plans. Residents said that they appreciated the help and support they received from the care staff. Care is given in such a way as to preserve residents’ privacy and dignity at all times. The Croft DS0000022591.V249690.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): 12, 13, 14 & 15 Residents benefit from daily consultation about how they want to spend their day. Family contact is encouraged and visitors are made welcome. EVIDENCE: The manager and other member of staff talk with the residents about their wishes and preferences and offer recreational activities. These are generally refused, as the residents prefer to sit in the lounge or their bedroom. They all told the inspector they Family and friends visit the home on a regular basis and all are made welcome and offered refreshments. Local ministers visit from the near-by churches to give communion to those who wish to take it. Residents’ meals are prepared on a daily basis rather than from a set menu and there are details of preferences, likes, dislikes and allergies noted on the care plans. All the residents said they enjoyed their meals. The Croft DS0000022591.V249690.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): 16, 17 & 18 Residents benefit from a complaints procedure and a policy in respect of the protection of vulnerable adults. EVIDENCE: Residents are given the information about how to make a complaint but they all said they would prefer to speak to the owner or any member of staff if they had a matter to discuss. The policy in respect of the protection of vulnerable adults ensures the safety of the residents Although the manager is aware of the use of advocates this has not been necessary as all the residents have a family member or friend to act on their behalf. The Croft DS0000022591.V249690.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): 19, 20, 21, 23, 24, 25 & 26 The residents benefit from living in a home that provides a comfortable and safe environment. EVIDENCE: The standard of the décor and furnishings is extremely high. The communal areas are bright and airy and the well-maintained gardens and conservatory provide extra sitting and recreational space. All the bedrooms are single, and have en-suite toilet facilities. They contained items of furniture from residents’ homes and lots of ornaments and photographs. They are all well decorated and appointed. The residents have access to all parts of the home, the upper floor being accessed via a stair lift. The home is extremely clean and hygienic. The Croft DS0000022591.V249690.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): 27, 28, 29 & 30 Residents benefit from individual care provided by the manager and the three other members of staff. EVIDENCE: The manager is well supported by the other members of staff in providing individual care at the highest level. There are members of staff on duty until 4.00pm during the week and 1.00pm at the weekend. There is no designated night staff but the owner and her husband live on the premises thus providing on-call cover through the night. Criminal Record Bureau checks have been completed for all working in the home, providing protection for the residents. The manager provides in-house training for the care staff through discussion and supervision. The Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 14 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): 31, 32, 33, 34, 36 & 38 The residents benefit from living in a home operated by an experienced owner/manager who provides a safe and secure environment. Health and safety practices ensure the safety and welfare of the residents. EVIDENCE: The owner/manager has operated the home for a number of years and provides a safe and secure environment for those living in The Croft. Because of the size of the home, it is possible to ensure the home is always run for the benefit of the residents. This is achieved by ensuring personal choice at all times. Residents said the owner and staff treated them like a member of their family and that they could choose how to spend their day. This personal choice means that two of the three residents spend all their time in their rooms. Staff supervision is in the form of regular discussions with a record is held on the staff files. The Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 15 The home does not hold any personal monies on behalf of the residents and the financial viability of The Croft is in the hands of the owners and their accountants. The Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 16 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 3 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 3 18 3 3 3 3 N/A 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 N/A N/A 3 N/A 3 The Croft DS0000022591.V249690.R01.S.doc Version 5.0 Page 17 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.V249690.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 DS0000022591.V249690.R01.S.doc Version 5.0 Page 19 - 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!