Inspection on 03/10/07 for The Croft

This inspection was carried out on 3rd October 2007.

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 06/10/06

The Croft 25/11/05

The Croft 15/06/05

The Croft 01/10/04

The Croft 19/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Croft 17 Snydale Road Normanton Wakefield West Yorks WF6 1NT Lead Inspector Tony Railton Key Unannounced Inspection 3rd October 2007 09:00 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 The Croft DS0000006174.V352166.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 DS0000006174.V352166.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Address 17 Snydale Road Normanton Wakefield West Yorks WF6 1NT 01924 223453 01924 223453 carehomes@croftcare.eclipse.co.uk 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) Croft Care homes Limited Ms Susan Porritt Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one named service user less than 65 years of age. Date of last inspection Brief Description of the Service: The Croft continues to provide accommodation and personal care for up to 29 older people. The home also provides respite care and day care for older people. Set back in its own grounds, the home is situated in a residential area close to the centre of Normanton and all services and amenities. There is a large drive with parking to the front, a large lawn to the rear and a new enclosed decked patio area with access for wheelchair users and garden furniture for the use of residents during the summer months. There is a large reception area with an office to the right, large lounge/dining room and small quiet room to the front. The accommodation is provided on two floors and there is a passenger lift and assisted bathing available. Qualified staff provide care and they are supported by other healthcare professionals such as District Nurses, Chiropodist and local GPs. Prospective service users are invited into the home to look at the services provided and visitors are made welcome. Activities are organised on a regular basis for those who wish to participate and there are annual fund raising events arranged. On 3 October 2007 the providers said the fees are currently £380 per week and that extra charges are made for Chiropody (£12) and hairdressing (variable). Information regarding the fees and services provided and the role of the CSCI can be obtained from the home. The home is close to a main bus route and situated between Wakefield and Castleford close to the M62/M1 link roads. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home commenced at 09.00 hours and ended at 13.30 hours. During this visit there was the opportunity to look at a sample of six people’s records that included assessments, care plans, reviews, daily and medical records. Six staff files were also seen and included application forms, references, police and POVA (Protection of Vulnerable Adults list) checks and training records. Other information considered included staff rotas, menus and the home’s quality assurance systems. There was the opportunity to speak to people using the service, one visiting relative, and the registered manager, care staff, cook and domestic. The way medicines are given was looked at and a sample of three people’s medicines checked. A tour of the premises was undertaken and the lunchtime meal sampled. What the service does well: People using the service experience a calm and relaxed atmosphere. Qualified and trained staff meets people’s care needs in a relaxed and unhurried manner. Positive relationships were observed being fostered between those using the service and care staff, and people were seen to be treated with dignity and having their wishes respected throughout the visit. One person said that they “like living in the home” and that the staff are “great”. Another said that the staff are “very caring”. A visiting relative said that the “staff are very good” and that their relative is “happy” living in the home. One person said that the “meals are great” and that they “get plenty to eat”. A relative said that it’s “good home cooking” that is provided. Records show that people are supported by, and have their healthcare needs met by, community based healthcare professionals including General Practitioners, District Nurses and Chiropodist. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 6 The minutes of the staff meetings and the home’s six monthly quality assurance report shows that people have the opportunity to comment on the quality of the services provided. To make sure people’s care needs are met, the care plans are reviewed regularly and changed to show people’s changing personal needs. 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 summary of this inspection report can be made available in other formats on request. The Croft DS0000006174.V352166.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 DS0000006174.V352166.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): 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. People’s personal and healthcare needs are assessed before coming to the home. The home does not provided specialist intermediate care. EVIDENCE: A sample of six people’s records showed that, to make sure the home can meet their needs, they are assessed before they are offered a service. The Statement of Purpose and discussion with the manager confirmed this. The manager said that the home does not provide specialist equipment for rehabilitation or intermediate care. The Statement of Purpose confirmed this. The Croft DS0000006174.V352166.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 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. People’s personal and healthcare needs are met, their wishes are respected and they are protected by the way medicines are dealt with. EVIDENCE: A sample of six people’s records and, in particular, assessments, care plans and reviews, show that people’s care needs are met. One person said they have “everything they need” and that “it’s great” living in the home. One visitor said their relative is “very happy” living in the home. People were observed throughout the visit being treated with dignity and having their wishes respected. One person said the staff are “very good” and that’s one of the “main reasons they chose to live in the home”. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 10 People are protected by the way medicines are dealt with, as the medicines checked were found to be correct, recorded properly and administered safely. Staff training records showed that those giving out medicines have been trained to do so correctly and safely. The Croft DS0000006174.V352166.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): 12,13,14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. The lifestyle experienced by people meets their expectations, however, some would like some more planned activities. People enjoy a varied and balanced diet. EVIDENCE: One person said the food is “very good” and they get “plenty to eat”. People were observed being asked what they would like for breakfast and were given a range of options. The manager confirmed this saying that people can have whatever they would like for breakfast. The cook said most people usually chose to have something cooked for breakfast. One relative said that “the meals are very good” and that “it’s good old fashioned home cooking”. A sample of the lunchtime meal found it to be well presented, well cooked and tasty. The menu showed that people are offered a varied and balanced diet. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 12 One person said that they started coming to the home for short periods but decided to live in the home as the “meals are great” and “there’s a good choice”. The daily records and record of activities show that some activities are organised for people to join in if they so wish. One care staff that has attended an “EXTEND” course on providing activities for older people, said that activities are arranged on a regular basis. The sample of six people’s daily records looked at showed no evidence of this. One regular visitor commented that there appeared to be “not many activities taking place in the home”. The Croft DS0000006174.V352166.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 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. People have access to the complaints policy and are confident their complaints will be listened to and acted upon. People are protected from abuse. EVIDENCE: The record of complaints showed that the home has received twelve complaints since the last visit. Discussion with the manager and record of complaints show that people’s views were listen to and acted upon. The manager said that all complaints and concerns, no matter how small, are taken seriously, investigated and action taken to put things right. The complaints record confirmed this. One person said that they know how to make a complaint but had never had to do so. One relative said that they know “how to complain” and who to complain to, but have “never had the need to complain”. The manager said that all residents have a copy of the complaints policy and procedure in their rooms. A tour of the home confirmed this. Records show that there have been two safeguarding referrals made this year. Discussion with the manager and owner, and the safeguarding records, show that these were appropriately dealt with. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 14 Staff training records show that all staff receive POVA (Protection of Vulnerable Adults) training. Discussion with the manager and care staff found that they have a good understanding of what constitutes abuse and how to deal with it. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 15 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 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. People live in a safe and well maintained environment that is clean and hygienic. EVIDENCE: A tour of the premises found it to be well maintained and free from any unpleasant odours. All parts of the home are clean and discussion with the domestic found that they have the equipment and materials they need and require to keep the home clean. People were observed relaxing in comfortable and wellmaintained surroundings. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 16 One person said that they “like their bedroom” and “it’s the best room in the home”. One visitor said their relative is “very happy in the home.” Another person said that they “had everything they needed”. The manager said that there had been a number of improvements to the home since the last visit and, in particular, the new patio leading to the garden. A tour of the premises confirmed that there is a new enclosed patio to provide a safe area for people to relax in the summer months. It was also noted that there is easy access for wheelchair users and those who have difficulty walking. A tour of the home also showed that the kitchen has a new automatic dishwasher and the laundry a new tumble dryer. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 17 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 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. The numbers and skill mix of care staff that are qualified and trained meets people’s needs. People are protected by the way staff are recruited and employed. EVIDENCE: The manager said that nearly all care staff have a National Vocational Qualifation Level 2 or above. The staff training records confirmed this. To protect those using the service, a sample of six staff records show that all staff have a police and POVA (Protection of Vulnerable Adults List) check before they are employed. Staff training records also show that they have POVA training. Discussion with care staff found that they have a good understanding of the care needs of older people, what constitutes abuse and how to deal with it. To make sure people are cared for properly and are safe, staff training records show that they receive First Aid, Moving and Handling, Food Hygiene, Infection Control and Health and Safety training. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 18 The manager said that there are enough staff planned to be on duty to meet the needs of people using the service. The staff rota confirmed this. Throughout the visit, enough staff were available to be observed meeting people’s care needs in a relaxed and unhurried manner. The manager said that the home has a very low staff turnover and has an experienced and dedicated staff team. This was confirmed by looking at the staff records, training profiles and through discussion with care staff. One person using the service said “staff are great”, another said the care staff are “wonderful”. One visitor said that the staff are “very good” and “very caring”. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 19 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): 31,33,35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. People live in a well managed home that is run in their best interests and where their health, safety and welfare is promoted and protected. EVIDENCE: People using the service can be assured that the manager running the home is qualified to do so. As records show, the manager is a Qualified Nurse and has a Registered Managers’ Award and NVQ Level 4. The manager said that, as part of quality assurance monitoring, a six monthly audit is undertaken. The Quality Assurance Audit Report confirmed this. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 20 The quality assurance audit shows that it includes gaining the views of people using the service on the quality of care provided. The manager said that only one person’s finances are administered and looked after by the home. This person’s finances were checked and found to be correct and proper records kept. To make sure people remain safe, the maintenance records show regular fire alarm checks are carried out along with regular servicing of the passenger lift and hoists. Staff training records also show that people’s health and safety and wellbeing are promoted as training in First Aid, Moving and Handling, Food Hygiene, Infection Control and Health and Safety training is provided. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 21 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 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 X X X X X X 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 X 3 X 3 X X 3 The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP12 OP14 OP19 Good Practice Recommendations A better record should be maintained of planned activities taking place within the home and of those who choose to participate. The daily records would benefit from an increase in the use of descriptive words to show and reflect residents’ choices, preferences, likes and dislikes. To keep the premises homely, there is some minor redecoration to the corridors and some bedroom walls. The Croft DS0000006174.V352166.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 DS0000006174.V352166.R01.S.doc Version 5.2 Page 24 - 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. 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