Inspection on 05/05/05 for The Croft

This inspection was carried out on 5th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Croft 06/07/06

The Croft 01/08/05

The Croft 25/08/04

The Croft 20/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE THE CROFT 20 CASTLECROFT ROAD FINCHFIELD WOLVERHAMPTON WEST MIDLANDS WV3 8BT Lead Inspector IAN HARRIS Unannounced 5 May 2005 09.30 th 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 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 E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service THE CROFT Address 20 CASTLECROFT ROAD FINCHFIELD WOLVERHAMPTON WEST MIDLANDS WV3 8BT 01902 380022 01902 380022 Telephone number Fax number Email 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 RESIDENTIAL LTD. MRS PATRICIA PARKES CARE HOME 24 Category(ies) of 24 OLD AGE registration, with number of places THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25TH August 2004 Brief Description of the Service: The home is situated in a residential area of Finchfield approximately three miles from Wolverhampton city centre. Local amenities are within walking distance, about a quarter of a mile away. The home was built as a private residence in the 1980’s In 1990, following extensive alterations, the premises was registered as a residential care home for 16 older people. The home has since been improved and extended at the rear of the premises to provide additional accommodation. The home is now registered for 24 older people.The staff team are committed to improving their knowledge and skills through training. the home ensures that all residents medical needs are met by visiting G.P.s. and paramedical services. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest co-operation was given to the inspection officer by the Care Manager, staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 6 of the 25 staff were on duty, and 8 of the 24 residents were spoken to On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable. The homely environment and the attentive staff have helped to provide a warm, comfortable, stimulating and secure environment for the residents. What the service does well: What has improved since the last inspection? THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 6 The home has a very good maintenance and refurbishment programme and since the last inspection the exterior of the building has been redecorated. Internally 8 residents’ bedrooms have been redecorated. New carpet has been provided in the hallway, dining rooms, 3 residents’ bedrooms and the ground floor corridors 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 E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 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 standard(s) 1,2, and 3 The home has a very good statement of purpose that the Care Manager has recently revised. The statement of purpose has been designed to incorporate the service users guide, also the home has a very informative brochure. The statement of terms and conditions used by the home meet the standard Appropriate assessments of need are in place and are carried out. EVIDENCE: Information about the home and the service provided are readily available in the home, the passed inspection reports were also available. It was also observed that staff, are very forthcoming with information to people viewing the home. It was noted that there are copies of terms and conditions of residence on each residents case file and a copy of an assessment prior coming into the home. All the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents, who are self funding are assessed by the Care Manager, using the homes assessment forms. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 9 THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7, 8, 9, and 10 Each resident has an individual care plan that is reviewed on a monthly basis. It was noted that the folder system being used for case files can be improved on by introducing ring binders, which have separate compartments for medical, finance, correspondence etc. The home has good contact with local G.P. s. local hospitals and paramedical services. The systems for the administration of medication are good, with clear and comprehensive arrangements being in place to ensure residents medication needs are met. The personal support in the home is offered in such a way that it promotes and protects the resident’s privacy, dignity and independence. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are reviewed on a monthly basis. The home is well supported by local G.P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G.P. s. Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 11 practitioners. There is also evidence on file that residents attend hospital appointments and receive visits from consultants in some cases. Medication is administered by means of a monitored dosage system. The system appears to be working very well. The home receives good support from the local pharmacist and all senior care staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as an integral part of the staff induction programme. It was noted that Eye drops and insulin were being kept in the refrigerator that is in the residents / relatives kitchen. This should be moved to the medical room. The observations made and discussions with staff and residents confirmed that they are aware of the importance of maintaining privacy and dignity. All the residents have their own single bedroom with en-suite facility .The assistance given by staff is provided in a dignified and sensitive way. The homes policies and procedures and aims and objectives are designed to ensure that the staff, maintain the residents privacy and dignity. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12 and 15 The home provides a good programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities. The meals in the home are good offering both choice and variety and also catering for special dietary needs. EVIDENCE: The Care Manager stated that the residents are consulted regarding the dayto-day running of the home through residents’ meetings and by feedback from their key-workers. The key-workers also identify interests that the residents wish to pursue. A regular programme of musical evenings, Art and Craft sessions, board- games, barbeques and sing-a-longs is organised within the home. Also regular outings to garden centres, and Pub lunches are arranged throughout the summer months. The care manager stated that it was becoming increasingly difficult to encourage residents to go on outings, this was confirmed by residents when asked about outings. The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the resident’s individual preferences. Comments made by residents regarding the quality, quantity and variety of food provided were highly THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 13 complimentary. It was also noted that most of the residents are served breakfast in their bedrooms. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16, and 18 The home has a good complaints procedure with some evidence that resident’s views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence and a notice on the notice board in the hall. The home has a complaints book in which all complaints are recorded. It was noted all complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which includes a WhistleBlowing policy. These issues are also covered in the N.V.Q. training, which the Staff are undergoing. There have been no incidents that have needed to be recorded or reported. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20.23, 24,25 and 26. The standard of the environment within the home and the garden is very high providing the residents with a very attractive, comfortable, homely and safe place to live. EVIDENCE: The home has been established for a number of years and has undergone alterations in order to provide appropriate accommodation for older people. The home is maintained to a very high standard as is the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that 8 residents’ bedrooms have been redecorated and the exterior of the home has also been redecorated. New carpets have been fitted to the hall, ground floor corridors and 3 residents’ bedrooms. All the accommodation is single rooms with en-suite facilities. It was noted that all the bedrooms have been personalised with the resident’s own personal possessions. This gives the appearance of a very comfortable environment. The home is furnished to a high standard throughout. All the bedrooms are well furnished and close attention has been paid to detail. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 16 The home offers excellent facilities and communal space. There is a choice of lounges and sitting areas within the home that are decorated and furnished to a very high standard. All the shared spaces within the home provide a warm, friendly, safe and comfortable environment. The home has very good hygiene and infection control policies and all the care and catering staff have undergone Food Hygiene training .The domestic staff have undergone C.O.S.H.H. training. All staff are conscious of the risks of cross infection. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29,and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs this is evident from the positive relationships, which have been formed between staff and residents’. The home has good policies and procedures regarding the recruitment of staff, which include all the appropriate checks and references. There is a good training programme in place that ensures that the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates an acceptable procedure and has registered with the Social Care Association in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. All staff, at the home, are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has introduced a programme of N.V.Q. training in order to meet the minimum standard. Also the care staff have attended courses on Safe handling of medication, First Aid and Moving and lifting. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,37 and 38 The manager has very good leadership skills and has a clear development plan and vision for the home, which she has effectively communicated to the residents’, staff and relatives. The manager is well supported by the proprietor and demonstrates an awareness of her roles and responsibilities. All the records that were inspected were found to be well maintained. The home has good policies and procedures regarding Health and safety and the care manager and staff demonstrated that they are aware of their responsibilities to promote and protect. EVIDENCE: The Care Manager is a qualified nurse and has considerable experience in caring for older people, both in nursing and residential home settings. There are clear lines of accountability within the home. The Care Manager has regular supervision meetings with the proprietor. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 19 Observations made and discussions with residents and staff indcated that the Care Manager is very approachable and operates an open door policy. The staff and residents stated that they are happy to approach the Care Manager with any problems they might have. All the records and administrative procedures within the home that were inspected, were found to be well maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training. Fire fighting equipment is well maintained and the systems are regularly checked. In regards to any accidents, they are all recorded in an appropriate record book. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 4 4 4 4 4 4 4 x 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 Standard No 16 17 18 Score 3 x 3 4 4 x x x x 3 3 THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 21 YES 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. 1. 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. Refer to Standard 9 7 Good Practice Recommendations That the registered person provides a medical refrigerator for the treatment room That the registered person provides ring binders for all residents case files. THE CROFT E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 E56 S20886 The Croft UAI V223822 050505 Stage 4.doc Version 1.30 Page 23 - 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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